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American Journal of Hospice and Palliative Medicine®
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Peaceful Surrender to Death Without Futile Bargaining to Live Relieves Terminal Air Hunger and Anguish

Subir C. Das, DNB

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Himanshu Chauhan, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Deepak Gupta, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Seema Mishra, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Sushma Bhatnagar, MD

Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India, shumob{at}yahoo.com

The case report emphasizes the management of ``terminal air hunger and anguish'' as a major challenge for the palliative care physicians. Truthful and compassionate terminal counseling of the patient and terminal sedation allowed us to control this distressing final phase of dying in the metastatic lung disease and enabled the patient to take her last breath peacefully.

Key Words: terminal anguish and air hunger • terminal counseling • terminal sedation

American Journal of Hospice and Palliative Medicine®, Vol. 25, No. 6, 496-499 (2009)
DOI: 10.1177/1049909108322286
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