Non-invasive ventilation in palliative care: a systematic review

Terán, Teresa Díaz de; Barbagelata, Elena; Cillóniz, Catia; Nicolini, Antonello; Perazzo, Tommaso; Perren, Andréas; Serin, Sibel Ocak; Scharffenberg, Martin; Fiorentino, Giuseppe; Zaccagnini, Marco; Khatib, Mohamad El; Papadakos, Peter J.; Karim, Habib M Rezaul; Solidoro, Paolo; Esquinas, António M.

doi:10.23736/s0026-4806.19.06273-6

Cited by 16 publications

(13 citation statements)

References 27 publications

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“…The data will be inductively summarised and organised thematically. 27 The extracted NIV-related findings will be read several times to identify patterns of similarities and differences in perspectives and experiences regarding the use of NIV in palliative care across the included studies. The identified patterns will be grouped thematically.…”

Section: Methods and Analysismentioning

confidence: 99%

“…However, it requires an analytical framework to provide a narrative account of the included studies. The data will be inductively summarised and organised thematically 27. The extracted NIV-related findings will be read several times to identify patterns of similarities and differences in perspectives and experiences regarding the use of NIV in palliative care across the included studies.…”

Section: Methods and Analysismentioning

confidence: 99%

“…A recent systematic review on NIV in palliative care indicated that NIV may improve breathlessness and quality of life in patients with end-stage lunge diseases. 27 However, this review was not limited to patients with COPD and only included quantitative studies, such as RCTs and prospective studies. Moreover, it had several important limitations; it is not clear whether the study selection process was performed by two authors independently and how the results were synthesised.…”

Section: Introductionmentioning

confidence: 99%

“…Most studies examining NIV in end-stage COPD have focused on the avoidance of intubation rather than symptom relief. A recent systematic review on NIV in palliative care indicated that NIV may improve breathlessness and quality of life in patients with end-stage lunge diseases 27. However, this review was not limited to patients with COPD and only included quantitative studies, such as RCTs and prospective studies.…”

Section: Introductionmentioning

confidence: 99%

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Non-invasive ventilation in the palliative care of patients with chronic obstructive pulmonary disease: a scoping review protocol

et al. 2021

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IntroductionPatients with advanced chronic obstructive pulmonary disease (COPD) experience a great symptom burden. Breathlessness is a very frequently reported symptom that negatively affects all aspects of daily life and could lead to fear of dying. Non-invasive ventilation (NIV) could be an important palliative measure to manage breathlessness in patients with advanced COPD. We decided to conduct a scoping review to attain an overview of the existing research and to identify knowledge gaps. This scoping review aims to systematically map published studies on the use of NIV in the palliative care of COPD patients, including the perspectives and experiences of patients, families and healthcare professionals.Methods and analysisThis scoping review will employ the framework of Arksey and O’Malley. The reporting will be guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. A comprehensive and systematic search strategy will be developed in cooperation with an experienced librarian. Database searches will be conducted in AMED, PEDro, Embase, CINAHL, PsycInfo and MEDLINE in February 2021. Pairs of authors will independently assess studies’ eligibility and extract data using a standardised data-charting form. The data will be inductively summarised and organised thematically. The results will be discussed with an advisory board consisting of nurses and physicians from respiratory and intensive care units.Ethics and disseminationApproval for the workshop with the advisory board has been attained from the Norwegian Centre for Research Data (480222), and approval will be attained from the Personal Data Protection Officers of the participating hospitals. All advisory board participants will sign an informed written consent before participation. The results could contribute to developing the body of evidence on the use of NIV in the palliative care of COPD patients and serve to identify directions for future research.

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Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Non-invasive ventilation in the palliative care of patients with chronic obstructive pulmonary disease: a scoping review protocol

et al. 2021

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“…To summarize the literature, Diaz de Teran et al [24] has completed a systematic review on the use of NIV in palliative care. They conclude that the evidence supports the use of NIV to improve breathlessness in this setting.…”

Section: Noninvasive Ventilation In Patients With Cancermentioning

confidence: 99%

Noninvasive respiratory supports for the relief of terminal breathlessness

Inglis

Furst

Foreman

2022

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewBreathlessness is a common symptom in patients with respiratory failure in the terminal phase of their illness. Noninvasive methods of oxygen delivery are frequently used in the palliative setting. We review the evidence supporting noninvasive respiratory supports for the relief of terminal breathlessness in those with life-limiting illnesses. Recent findingsThere is limited evidence to support the use of supplemental oxygen for patients without hypoxia. It is unclear whether the symptomatic benefit of oxygen therapy relates to the oxygen delivery and/or airflow across the nasal mucosa. Early trials suggest that high-flow nasal cannula (HFNC) oxygen therapy improves breathlessness at rest and on exertion for patients with cancer. Noninvasive ventilation (NIV) also appears to improve breathlessness in the palliative setting; however, potential harms include facial pressure injuries, claustrophobia and anxiety. Goals of care should be explicitly discussed and frequently reviewed given that these interventions have the potential for harm and can be challenging to withdraw. SummaryHFNC oxygen therapy and NIV appear to reduce breathlessness in the palliative setting. Further highquality trials are needed to confirm the symptomatic benefits of noninvasive respiratory supports on breathlessness for patients with cancer.

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Psychological, Social, and Economic Impacts

Baglieri

Reda

2023

Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders

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Non-invasive ventilation in palliative care: a systematic review

Cited by 16 publications

References 27 publications

Non-invasive ventilation in the palliative care of patients with chronic obstructive pulmonary disease: a scoping review protocol

Non-invasive ventilation in the palliative care of patients with chronic obstructive pulmonary disease: a scoping review protocol

Noninvasive respiratory supports for the relief of terminal breathlessness

Psychological, Social, and Economic Impacts

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