The presence of noisy, pooled respiratory tract secretions is among the most common symptoms in dying patients around the world. It is unknown if ‘death rattle’ distresses patients, but it can distress relatives and clinicians. Treatments appear unsatisfactory, so prophylaxis would be ideal if possible.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.