Comment arrêter une ventilation au long cours ?

Stopping a long-term ventilation is a frequent act. Nevertheless, it is not a banal act because it involves stopping a vital measure. It requires thinking and consultation between the patient, his family and doctors. The decision to limit active therapeutic procedures is difficult and multifactorial. The doctor must legally an morally respect the patient's wishes or those of his family. The doctor must adapt to social and religious context and ensure understanding of the consequences of such a decision. Patients must be accompanied until the end. At no time, doctors should stop basic and supportive care. The patient's wishes must be collected and anticipated to improve medical care and to make this act the least trauamtic as possible for the patient, his family and accompanying carer.