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Updated: Jun 5, 2026

A Structured Approach to Extubation in Mechanically Ventilated Rats
Published on: July 18, 2025
Case report: Maintaining and withdrawing long-term invasive ventilation in a patient with MND/ALS in a home setting
1The Beacon Specialist Community Supportive and Palliative Care Service, Guildford, Surrey, UK. beata.lebon@fph-tr.nhs.uk
Abstract:
Long-term home-based invasive ventilation in patients with motor neurone disease/amyotrophic lateral sclerosis (MND/ALS) remains rare in the UK. We describe a case of an MND/ALS patient who was treated with long-term invasive ventilation at home but subsequently requested its withdrawal despite a seemingly stable period of his illness. We also discuss the impact of the delivery of this treatment and its withdrawal on his carers, primary healthcare team, community trust managers and specialist palliative care team.
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