Multidisciplinary Lessons from Palliative Extubations at

Prehosp Emerg Care · Nov 2024

Multidisciplinary Lessons from Palliative Extubations at Home.

Most patients with serious illness prefer to die at home; however, for those requiring ongoing ventilatory support, this preference is often not honored due to the difficulties of arranging a palliative extubation at home. Here we present two cases of successful home palliative extubations, coordinated by a multidisciplinary team including critical care, palliative care, care management, hospice, and emergency medical services (EMS) clinicians. By exploring the operational and regulatory challenges accompanying these cases, we provide a road map for offering mechanically ventilated patients the choice of a death at home and provide truly holistic and patient-centered care.

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- Amelia M Breyre, Megan Grammatico, Alexa Policastro, Charles J Ingram, Elizabeth Prsic, L Scott Sussman, and Katherine Couturier.
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
- Prehosp Emerg Care. 2024 Nov 15: 141-4.
AbstractMost patients with serious illness prefer to die at home; however, for those requiring ongoing ventilatory support, this preference is often not honored due to the difficulties of arranging a palliative extubation at home. Here we present two cases of successful home palliative extubations, coordinated by a multidisciplinary team including critical care, palliative care, care management, hospice, and emergency medical services (EMS) clinicians. By exploring the operational and regulatory challenges accompanying these cases, we provide a road map for offering mechanically ventilated patients the choice of a death at home and provide truly holistic and patient-centered care.

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Multidisciplinary Lessons from Palliative Extubations at Home.

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