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

Humans Withholding Treatment / ethics Terminal Care / ethics Intensive Care Units / ethics Life Support Care / ethics Critical Care / ethics Palliative Care / ethics
End of life Intensive care Life-sustaining treatments Palliative care

Journal

Anesthesiology clinics
ISSN: 1932-2275
Titre abrégé: Anesthesiol Clin
Pays: United States
ID NLM: 101273663

Informations de publication

Date de publication:
Sep 2024
Historique:
medline: 26 7 2024
pubmed: 26 7 2024
entrez: 25 7 2024
Statut: ppublish

Résumé

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.

Identifiants

DOI: 10.1016/j.anclin.2024.02.008 PMID: 39054016
pubmed: 39054016
pii: S1932-2275(24)00016-8
doi: 10.1016/j.anclin.2024.02.008
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

407-419

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure All authors have nothing to disclose.

Auteurs

Andrea Cortegiani (A)

Department of Precision Medicine in Medical, Surgical and Critical Care Area (Me.Pre.C.C.), University of Palermo, Palermo, Italy; Department of Anesthesia Analgesia Intensive Care and Emergency, University Hospital Policlinico 'Paolo Giaccone', Via del vespro 129, Palermo 90127, Italy. Electronic address: andrea.cortegiani@unipa.it.

Mariachiara Ippolito (M)

Department of Precision Medicine in Medical, Surgical and Critical Care Area (Me.Pre.C.C.), University of Palermo, Palermo, Italy; Department of Anesthesia Analgesia Intensive Care and Emergency, University Hospital Policlinico 'Paolo Giaccone', Via del vespro 129, Palermo 90127, Italy.

Sebastiano Mercadante (S)

Main Regional Center of Pain Relief and Supportive/palliative Care, Nutrition (S.M.), La Maddalena Cancer Center, Via San Lorenzo, 312/D, Palermo 90146, Italy.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › End-of-life Care in the Intensive Care Unit...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Abstention thérapeutique › End-of-life Care in the Intensive Care Unit...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins terminaux › End-of-life Care in the Intensive Care Unit...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › End-of-life Care in the Intensive Care Unit...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins de maintien des fonctions vitales › End-of-life Care in the Intensive Care Unit...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins de réanimation › End-of-life Care in the Intensive Care Unit...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins palliatifs › End-of-life Care in the Intensive Care Unit...