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l�ll Management of patients with amyotrophic lateral sclerosis Pautex S; Janssens JP; Vuagnat H; Conne P; Zulian GBSwiss Med Wkly 2005[Oct]; 135 (41-42): 626-9Standard recommendations for the clinical management of patient with ALS have been edited in recent years. These documents emphasise the importance of patient's autonomy. AIM OF STUDY: To measure how these different recommendations can be applied in the context of a general hospital without a specific ALS clinic. METHODS: Review of medical records of 21 patients with an ALS diagnosis treated by the University Hospitals Geneva who died from 1996-2002. RESULTS: Patients suffered from distressing symptoms during their last hospitalisation. Artificial nutrition was given to 5 patients. Six patients had non invasive ventilation (NIV). Written advance directives were only available in 2 cases. Discussions about theses issues were also conducted late in the evolution of the disease. CONCLUSION: Some discrepancies between our daily practice and the existing recommendations exist, particularly regarding the key issues of artificial nutrition and ventilatory support.|Aged[MESH]|Aged, 80 and over[MESH]|Amyotrophic Lateral Sclerosis/*therapy[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Medical Audit[MESH]|Middle Aged[MESH]|Palliative Care[MESH]|Practice Patterns, Physicians'/*standards[MESH]|Switzerland[MESH] |