Elective ventilation is cost effective and humane

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7016.1370a (Published 18 November 1995) Cite this as: BMJ 1995;311:1370
  1. Hany Riad,
  2. Anthony Nicholls,
  3. Charles Collins
  1. Consultant renal transplant surgeon Consultant renal physician Formerly director of intensive care Royal Devon and Exeter Hospital, Exeter EX2 5DW

    EDITOR,--We expected that our defence of elective ventilation1 would provoke criticism and wish to respond here to letters on the issue.2 Peter G M Wallace rightly says2 that the published experience of elective ventilation is limited to nine patients. The table summarises our full experience over six years. Two further patients became non-heart-beating donors as the relatives agreed to organ donation (and elective ventilation) but no intensive care unit bed was available. The 23 donors yielded 41 kidneys, two hearts, three sets of heart valves, one liver, and 20 corneas, which were transplanted with favourable outcomes.

    Moving a patient back to a general medical ward does not create distress if the family members are supported: they consider that …

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