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Summary  The ancient Latin quote  Dum spiro, spero  from Cicero means  While I breathe, I hope . This article outlines five clinically relevant principles for pulmonary palliative care to treat chronic breathlessness in advanced lung diseases: (1) be aware of the finality of life, (2) palliative care does not mean “doing nothing”, (3) consider interdisciplinary and multidisciplinary therapeutic concepts, (4) conduct future talks and (5) use opioids for refractory breathlessness and think of treatable causes of respiratory distress.

While I breathe, I hope. Principles of palliative care in chronic breathlessness and advanced lung diseases