1st April 2022

A 72-year-old male with motor neurone disease has been on non-invasive ventilation for several years

A 72-year-old male with motor neurone disease has been on non-invasive ventilation for several years, in order to reduce the breathlessness and type II respiratory failure, which may result from his disease. However, the progression of the disease is such that he is no longer able to remove the ventilation at all without highly uncomfortable dyspnoea and thus wishes to manage this better.

Which of the following is most appropriate for this patient with motor neurone disease and progressively worsening respiratory symptoms? Select ONE option only.