Why a patient may want to remove BiPAP

Patients through progressive disease involving their respiratory muscles might require Non-Invasive Ventilation (BiPAP) to assist with breathing. Together the condition advances some patients might decide the they no longer wish to assistance their breathing with BiPAP, and also choose to remove this treatment.

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The decision to eliminate BiPAP is a very personal one.

Some patient will discover this decision easy and also others might need much more time come talk around this through family, friends, their Substitute Decision machine (SDM) and also their health treatment team.

Talking about BiPAP removal can lead come discomfort and disagreement among a patient’s family, friends and also SDM. have actually these conversations as beforehand as possible. The is a critical part of the procedure to eliminate BiPAP.


A patient or SDM can ask to eliminate BiPAP. It is both ethical and legal.

If a patient loser the capability and cannot offer consent to eliminate BiPAP, the SDM can make the decision for them.

It is vital for patient to talk to your SDM and also health treatment team about their development care planning decisions and have their wishes to eliminate BiPAP written down in the patient’s medical record. Patients may likewise have their decisions documented with the help of a legal professional.


Removal the BiPAP

BiPAP removal can be excellent in the home, the hospital, Palliative care Unit or Hospice. Remove BiPAP consists of timely usage of oxygen and physician-prescribed medicines to help with symptoms.

Patients will certainly be made together comfortable as possible. Offering medication to do the person calm and sleepy lowers the level of consciousness through no awareness that voices or pain. Remove BiPAP will finish in death. This typically happens in ~ hours, however this timeline have the right to be various for each patient.


The patient can decide that they would choose by their side at the time when BiPAP is removed. The doctor and also Palliative treatment Consult Team will likewise be present throughout the process.

The patient’s admitting doctor, and the Palliative treatment Consult Team will certainly order the medications and also be available for support.

Prescribed medications will include: opioids and sedatives to manage breathlessness and also symptoms. Medication will be given by a physician or nurse. A respiratory therapist will manage the BiPAP settings.


Following remove of BiPAP

Those existing for the procedure may find it emotionally difficult.

Support is available. Patients, household members and also friends may wish come speak through the health treatment team to assist plan because that this front of time.

Frequently inquiry Questions


Patients may develop breathlessness (gasping, an obstacle breathing) without BiPAP, but may be managed by repositioning. Oxygen might offer some additional symptom regulate (e.g. Given to patients via facemask). However, ache is seldom experienced. Drugs to help provide comfort throughout removal of BiPAP may reason drowsiness and also sedation. Together the procedure naturally continues, patient may likewise develop discoloration of your skin.
No. Remove BiPAP is a decision to avoid a clinical treatment and enable the underlying problem to take its natural course. Remove of BiPAP outcomes in the person’s death, usually within hours. Medical assistance in dying, or MAID, is different. MAID is a legal end-of-life option in Canada, and is a extremely regulated and compassionate procedure that offers patients who are suffering from a life-limiting disease with a measure up of control over how and also when they will die. For much more information you can ask your health care team and also visit the government of Ontario"s ministry of Long-Term treatment website.

Location and also contact

Palliative care unit admissions (K1E/K1C)

Palliative care consult team

Phone: 416-480-6100 ext. 7255Monday - Friday: 8:00 a.m. - 4:00 p.m.

If you have any kind of questions concerning palliative care referrals and also resources, please do not hesitation to call us.

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For immediate matters external of business hours, please speak to locating at 416-480-4244 and ask the operator to web page the "on-call palliative care physician/consultant".

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