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<p>Noninvasive ventilation (NIV) is certainly a&#xa0;highly potent modality for the treatment of respiratory insufficiency. However, the use of NIV in the context of end-of-life care remains an individual case-by-case decision. NIV has the potential to relieve dyspnea even in patients at the end of life; therefore, a&#xa0;categorical exclusion in the palliative setting does not appear justified. However, this requires a&#xa0;carefully established indication, including a&#xa0;clearly defined therapeutic goal as well as explicit criteria for treatment success and for the possible discontinuation of therapy. Transparent and, if necessary, repeated communication with patients and their relatives is essential, particularly to avoid misunderstandings regarding the goals of care at the end of life. It must be critically noted that palliative care recommendations—including relevant guidelines (e.g., the 2020 German S3&#xa0;Guideline on Palliative Medicine)—generally advise against the routine use of intensive care measures in patients in the terminal phase of life.</p>

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Nichtinvasive Beatmung bei End-of-Life-Care

  • 期刊论文

  • 发表日期：

    2026年7月9日

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  • Georg Sterniste

摘要

Noninvasive ventilation (NIV) is certainly a highly potent modality for the treatment of respiratory insufficiency. However, the use of NIV in the context of end-of-life care remains an individual case-by-case decision. NIV has the potential to relieve dyspnea even in patients at the end of life; therefore, a categorical exclusion in the palliative setting does not appear justified. However, this requires a carefully established indication, including a clearly defined therapeutic goal as well as explicit criteria for treatment success and for the possible discontinuation of therapy. Transparent and, if necessary, repeated communication with patients and their relatives is essential, particularly to avoid misunderstandings regarding the goals of care at the end of life. It must be critically noted that palliative care recommendations—including relevant guidelines (e.g., the 2020 German S3 Guideline on Palliative Medicine)—generally advise against the routine use of intensive care measures in patients in the terminal phase of life.