Journal
of Palliative Medicine, June 2014, vol./is. 17/6(657-61)
Quill CM,
Quill TE
The authors describe the use of NPPV in four patients with advanced disease and preexisting
treatment-limiting directives. They discuss some of the ethical dilemmas and
unintended consequences that may accompany the use of NPPV in such
circumstances and review the benefits and burdens of palliative
NPPV. They conclude with a summary of principles that can be
used as a guide to decision making regarding palliative NPPV.