TY - JOUR T1 - Tracheostomy in motor neurone disease JF - Practical Neurology JO - Pract Neurol SP - 467 LP - 475 DO - 10.1136/practneurol-2018-002109 VL - 19 IS - 6 AU - Martin R Turner AU - Christina Faull AU - Christopher J McDermott AU - Annabel H Nickol AU - Jonathan Palmer AU - Kevin Talbot Y1 - 2019/12/01 UR - http://pn.bmj.com/content/19/6/467.abstract N2 - Tracheostomy-associated ventilation for the respiratory insufficiency caused by amyotrophic lateral sclerosis (motor neurone disease (MND)) is a complex issue with practical, ethical and economic dimensions. This article considers the current prevalence of tracheostomy in MND, the evidence for its benefit both for survival and quality of life, and the practicalities of its implementation. The decision to request invasive ventilatory support is among the most challenging for those living with MND. Neurologists should be prepared to discuss this option openly and objectively: we suggest a framework for discussion, including withdrawal of therapy. ER -