Noisy breathing is an indicator of impending death, occurring in about half of people who are actively dying. It can sometimes be referred to as respiratory secretions, gurgly breathing and the death rattles.
This symptom can be exacerbated by the administration of parenteral fluids.
Noisy Secretions are common in the terminal phase
of a palliative illness. It is controversial as to whether the medicines are beneficial.
palliAGEDgp smartphone application
Tasmanian Adult Palliative Care Formulary
Tasmanian Care Management Guidelines
Eastern Metropolitan Region Palliative Care Consortium (Victoria)
Therapeutic Guidelines: Palliative Care
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Page updated 04 May 2017
- Counselling the family that the patient is unlikely to be aware of, or distressed, by symptom is often helpful
- Repositioning the patient from side to side can sometimes help them clear the secretions
- Suction is unlikely to be helpful in most cases, and can be distressing for the patient