End-of-life Care in the Intensive Care Unit and Ethics of Withholding/Withdrawal of Life-sustaining Treatments

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Název: End-of-life Care in the Intensive Care Unit and Ethics of Withholding/Withdrawal of Life-sustaining Treatments
Autoři: Cortegiani A., Ippolito M., Mercadante S.
Zdroj: Anesthesiology Clinics. 42:407-419
Informace o vydavateli: Elsevier BV, 2024.
Rok vydání: 2024
Témata: Life Support Care, Terminal Care, Intensive Care Units, Withholding Treatment, Critical Care, Intensive care, End of life, Palliative Care, Palliative care, Humans, Life-sustaining treatments
Popis: The medical progress has produced improvements in critically ill patients' survival to early phases of life-threatening diseases, thus producing long intensive care stays and persisting disability, with uncertain long-term survival rates and quality of life. Thus, compassionate end-of-life care and the provision of palliative care, even overlapping with the most aggressive of curative intensive care unit (ICU) care has become crucial. Moreover, withdrawal or withholding of life-sustaining treatment may be adopted, allowing unavoidable deaths to occur, without prolonging agony or ICU stay. Our aim was to summarize the key element of end-of-life care in the ICU and the ethics of withholding/withdrawal life-sustaining treatments.
Druh dokumentu: Article
Popis souboru: application/pdf
Jazyk: English
ISSN: 1932-2275
DOI: 10.1016/j.anclin.2024.02.008
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39054016
https://hdl.handle.net/10447/647714
https://doi.org/10.1016/j.anclin.2024.02.008
Rights: Elsevier TDM
Přístupové číslo: edsair.doi.dedup.....f69dc0d209eba3736798b014ecf7ba1a
Databáze: OpenAIRE
Popis
Abstrakt:The medical progress has produced improvements in critically ill patients' survival to early phases of life-threatening diseases, thus producing long intensive care stays and persisting disability, with uncertain long-term survival rates and quality of life. Thus, compassionate end-of-life care and the provision of palliative care, even overlapping with the most aggressive of curative intensive care unit (ICU) care has become crucial. Moreover, withdrawal or withholding of life-sustaining treatment may be adopted, allowing unavoidable deaths to occur, without prolonging agony or ICU stay. Our aim was to summarize the key element of end-of-life care in the ICU and the ethics of withholding/withdrawal life-sustaining treatments.
ISSN:19322275
DOI:10.1016/j.anclin.2024.02.008