Withdrawing life support: Extubation and prolonged terminal weans are inappropriate

Critical Care Medicine

Volumn 24, Issue 2, 1996, Pages 352-353

  Gilligan, Timothy ^a   Raffin, Thomas A ^a,b  

^a STANFORD UNIVERSITY   (United States)

^b STANFORD UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

critical illness; ethics, medical; life support care; mechanical ventilation; terminal care; ventilator weaning

Indexed keywords

ARTIFICIAL VENTILATION; HUMAN; INTENSIVE CARE; MEDICAL DECISION MAKING; NOTE; PATIENT CARE; PRIORITY JOURNAL; RISK ASSESSMENT; TERMINAL CARE; WEANING;

DEATH AND EUTHANASIA;

CRITICAL CARE; ETHICS, MEDICAL; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTUBATION, INTRATRACHEAL; TERMINAL CARE; TIME FACTORS; VENTILATOR WEANING;

EID: 0030020011     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199602000-00028     Document Type: Note

References (11)

1. Task force on ethics of the society of critical care medicine: Consensus report of the ethics of foregoing life-sustaining treatments in the critically ill. Crit Care Med 1990; 18:1435-1439
2. Raffin TA: Withdrawing life support: How is the decision made? JAMA 1995; 273:738-739
3. Faber-Langendoen K: Process of forgoing life-sustaining treatment in a university hospital: An empirical study. Crit Care Med 1992; 20:570-577
4. Christakis NA, Asch DA: Biases in how physicians choose to withdraw life support. Lancet 1993; 342:642-646
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6. The Society of Critical Care Medicine Ethics Committee: Attitudes of critical care medicine professionals concerning forgoing life-sustaining treatments. Crit Care Med 1992; 20:320-326
7. Christakis NA, Asch DA: Physician characteristics associated with decisions to withdraw life support. Am J Public Health 1995; 85:367-372
8. Faber-Langendoen K: The clinical management of dying patients receiving mechanical ventilation: A survey of physician practice. Chest 1994; 106:880-888
9. Ruark JE, Raffin TA, The Stanford University Medical Center Committee on Ethics: Initiating and withdrawing life support: Principles and practice in adult medicine. N Engl J Med 1988; 318:25-30
10. Grenvik A: "Terminal Weaning"; discontinuance of life-support therapy in the terminally ill patient. Crit Care Med 1983; 11:394-395
11. Daly BJ, Newlon B, Montenegro HD, et al: Withdrawal of mechanical ventilation: Ethical principles and guidelines for terminal weaning. Am J Crit Care 1993; 2:217-223