Open AccessIs tracheostomy still an option in amyotrophic lateral sclerosis? Reflections of a multidisciplinary work group
Author(s) -
Anne-Chantal Héritier-Barras,
Dan Adler,
Ferfoglia Iancu,
Bara Ricou,
Yvan Gasche,
Igor Leuchter,
Samia Hurst,
Monica Escher-Imhof,
Pierre Pollak,
JP Janssens
Publication year - 2013
Publication title -
schweizerische medizinische wochenschrift
Language(s) - English
Resource type - Journals
ISSN - 0036-7672
DOI - 10.4414/smw.2013.13830
Subject(s) - medicine , amyotrophic lateral sclerosis , quality of life (healthcare) , intensive care medicine , multidisciplinary approach , disease , advance care planning , palliative care , institutionalisation , psychiatry , nursing , social science , sociology
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease with a poor prognosis. Survival and quality of life of ALS patients have improved through the implementation of multidisciplinary approaches, the use of percutaneous gastrostomy and of noninvasive (NIV) or invasive ventilation. The question of whether or not to propose invasive ventilation (by tracheostomy: TPPV) to ALS patients remains a matter of debate
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