# OnCo record idea-upgrade-prophylactic-antimuscarinic-when-dying-recognised (idea). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)". Whole corpus: https://onco.cc/api/v1/onco.nt
@prefix schema: <https://schema.org/> .
@prefix onco: <https://onco.cc/ns#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

<https://onco.cc/ideas/idea-upgrade-prophylactic-antimuscarinic-when-dying-recognised/>
  a schema:CreativeWork ;
  onco:kind "idea" ;
  schema:identifier "idea-upgrade-prophylactic-antimuscarinic-when-dying-recognised" ;
  schema:name "An antimuscarinic started when dying is recognised, to prevent the death rattle rather than treat it"@en ;
  schema:description "Noisy breathing in the last days of life, often called the death rattle, distresses many families. Guidelines give a drug to dry the secretions only once the noise has started and is causing distress. In one Dutch trial, starting the drug as soon as dying was recognised halved how often the rattle appeared."@en ;
  schema:url <https://onco.cc/ideas/idea-upgrade-prophylactic-antimuscarinic-when-dying-recognised/> ;
  schema:dateModified "2026-10-20"^^xsd:date ;
  schema:citation <https://doi.org/10.1001/jama.2021.14785>, <https://www.nice.org.uk/guidance/ng31/chapter/Recommendations>, <https://doi.org/10.14475/kjhpc.2020.23.3.103> ;
  onco:tag "protocol-upgrade", "upgrade:promising", "evidence:moderate" ;
  onco:sections <https://onco.cc/fronts/supportive-care/> ;
  onco:technologies <https://onco.cc/technologies/syringe-drivers/>, <https://onco.cc/technologies/palliative-care/> ;
  onco:terms <https://onco.cc/terms/last-days-of-life-care/> ;
  onco:bottlenecks <https://onco.cc/bottlenecks/b-palliative/> .