1. Selected References
Association of Palliative Medicine, 2015 Withdrawal of Assisted Ventilation at the Request of a Patient with Motor Neurone Disease. content/uploads/2016/03/Guidance-with-logos-updated pdf (accessed 02/03/2018) Bach JR, Bianchi C, Aufiero E. Oximetry and indications for tracheostomy for amyotrophic lateral sclerosis. Chest 2004;126:1502e7. Burkhardt, C. et al Is survival improved by the use of NIV and PEG in amyotrophic lateral sclerosis (ALS)? A post-mortem study of 80 ALS patients. (accessed 02/03/2018) Bourke, S.C., Tomlinson, M., Williams, T.L., Bullock, R.E., Shaw, P.J. and Gibson, G.J. (2006) ‘Effects of non invasive ventilation on survival and quality of life in patients with amyotrophic lateral sclerosis: a randomised controlled trial’, Lancet Neurology, vol. 5, pp. 140–7. Ishikawa, Y. et al 2011 Duchenne muscular dystrophy: survival by cardio-respiratory interventions Neuromuscul Disord Jan;21(1):47-51 The National Institute for Health and Care Excellence , Motor neurone disease: assessment and management. (accessed 02/03/2018) Palmer et al 2018, UK Based Tracheostomy Ventilation in Motor Neurone Disease: A Multi- Centre Review. Thorax 2017;72:A28 Sancho J, Servera E, Diaz JL, et al. Home tracheotomy mechanical ventilation in amyotrophic lateral sclerosis patients: causes, complications and 1-year survival. Thorax. Published Online First: 21 June Simmonds, AK, Elliott, MW. Outcome of domiciliary nasal intermittent positive pressure ventilation in restrictive and obstructive disorders. Thorax 1995; 50: 604–609.

2. Further Reading/Watching
MND in acute, urgent and emergency care
and-emergency-care.pdf
NIV for MND
Cough management
Chatwin, M.C, et. Al Airway clearance techniques in neuromuscular disorders: A state of the art review. 9/fulltext (accessed 10/04/2018)
NIV in MND e-learning package

3. Questions and evaluation
Close of Day
Questions and evaluation