How is life support withdrawn in intensive care units : A narrative review
Copyright © 2016 Elsevier Inc. All rights reserved..
PURPOSE: Decisions to withdraw life-sustaining therapy (WDLS) are relatively common in intensive care units across Canada. As part of preliminary work to develop guidelines for WDLS, we performed a narrative review of the literature to identify published studies of WDLS.
MATERIALS AND METHODS: A search of MEDLINE and EMBASE databases was performed. The results were reviewed and only articles relevant to WDLS were included. Any references within these articles deemed to be relevant were subsequently included.
RESULTS: The initial search identified 3687 articles. A total of 100 articles of interest were identified from the initial search and a review of their references. The articles were primarily composed of observational data and expert opinion. The information from the literature was organized into 6 themes: preparation for WDLS, monitoring parameters, pharmacologic symptom management, withdrawing life-sustaining therapies, withdrawal of mechanical ventilation, and bereavement.
CONCLUSIONS: This review describes current practices and opinions about WDLS, and also demonstrates the significant practice variation that currently exists. We believe that the development of guidelines to help increase transparency and standardize the process will be an important step to ensuring high quality care during WDLS.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
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| Enthalten in: |
Journal of critical care - 35(2016) vom: 01. Okt., Seite 12-8 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Delaney, Jesse W [VerfasserIn] |
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| Links: |
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| Themen: |
Critical care |
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| Anmerkungen: |
Date Completed 13.09.2017 Date Revised 02.12.2018 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jcrc.2016.04.006 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM263031543 |
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| 100 | 1 | |a Delaney, Jesse W |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a How is life support withdrawn in intensive care units |b A narrative review |
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| 500 | |a Date Completed 13.09.2017 | ||
| 500 | |a Date Revised 02.12.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2016 Elsevier Inc. All rights reserved. | ||
| 520 | |a PURPOSE: Decisions to withdraw life-sustaining therapy (WDLS) are relatively common in intensive care units across Canada. As part of preliminary work to develop guidelines for WDLS, we performed a narrative review of the literature to identify published studies of WDLS | ||
| 520 | |a MATERIALS AND METHODS: A search of MEDLINE and EMBASE databases was performed. The results were reviewed and only articles relevant to WDLS were included. Any references within these articles deemed to be relevant were subsequently included | ||
| 520 | |a RESULTS: The initial search identified 3687 articles. A total of 100 articles of interest were identified from the initial search and a review of their references. The articles were primarily composed of observational data and expert opinion. The information from the literature was organized into 6 themes: preparation for WDLS, monitoring parameters, pharmacologic symptom management, withdrawing life-sustaining therapies, withdrawal of mechanical ventilation, and bereavement | ||
| 520 | |a CONCLUSIONS: This review describes current practices and opinions about WDLS, and also demonstrates the significant practice variation that currently exists. We believe that the development of guidelines to help increase transparency and standardize the process will be an important step to ensuring high quality care during WDLS | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Critical care | |
| 650 | 4 | |a Life support care | |
| 650 | 4 | |a Palliative care | |
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| 650 | 4 | |a Terminal care | |
| 700 | 1 | |a Downar, James |e verfasserin |4 aut | |
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