Lancet Spotlight

21 March, 2020

Pitfalls in the ventilator management of Myasthenia Gravis A primary goal of intensive and critical care medicine is to raise standards of care and improve outcomes for patients. But when non-responsive patients are unlikely to make a meaningful recovery, difficult decisions have to be made. Decision-making is infl uenced by many factors: ethical, economic, cultural, legal, and the wishes of the family. When there is overwhelming evidence that further treatment or keeping the patient alive with mechanical assistance is prolonging unnecessary suffering, how can this situation be explained to distressed family members?

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