Patient responses during rapid terminal weaning from mechanical ventilation: A prospective study

Critical Care Medicine

Volumn 27, Issue 1, 1999, Pages 73-77

  Campbell, Margaret L ^a   Bizek, Kathryn S ^b   Thill, Mary ^a  

^a DETROIT RECEIVING HOSPITAL   (United States)

^b Henry Ford Health Systems   (United States)

Author keywords

Consciousness; Dying; Dyspnea; Morphine; Passive euthanasia; Terminal care; Ventilator weaning

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; CLINICAL ARTICLE; COMA; CONSCIOUSNESS; DISEASE SEVERITY; DYING; DYSPNEA; EUTHANASIA; FEMALE; HUMAN; MALE; PRIORITY JOURNAL; TERMINAL CARE; WEANING;

ADULT; AGED; AGED, 80 AND OVER; APACHE; FEMALE; GLASGOW COMA SCALE; HUMANS; MALE; MIDDLE AGED; OXYGEN; PROSPECTIVE STUDIES; TERMINAL CARE; TERMINALLY ILL; TREATMENT OUTCOME; VENTILATOR WEANING;

EID: 0032919674     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199901000-00029     Document Type: Article

References (32)

1. 1. Campbell ML, Frank RR: Experience with an end-of-life practice at a university hospital. Crit Care Med 1997; 25:197-202
2. 2. Prendergast TJ, Luce JM: Increasing incidence of withholding and withdrawal of life support from the critically ill. Am J Respir Crit Care Med 1997; 155:15-20
3. 3. Siegel MD, Ryder A: Life support: The debate continues. Chest 1996; 109:852
4. 4. Grenvik A: "Terminal weaning"; discontinuance of life-support therapy in the terminally ill patient. Crit Care Med 1983; 11:394-395
5. 5. Campbell ML, Carlson RW: Terminal weaning from mechanical ventilation: Ethical and practical considerations for management. Am J Crit Care 1992; 1:52-56
6. 6. Campbell ML: Case studies in terminal weaning from mechanical ventilation. Am J Crit Care 1993; 2:354-358
7. 7. Gilligan T, Raffin TA: Rapid withdrawal of support. Chest 1995; 108:1407-1408
8. 8. Carslon RW, Campbell ML, Frank RR: Life support: The debate continues. Chest 1996; 109:852-853
9. 9. Faber-Langendoen K: The clinical management of dying patients receiving mechanical ventilation. Chest 1994; 106:880-888
10. 10. Campbell ML, Thill MC: Impact of patient consciousness on the intensity of the do-not-resuscitate therapeutic plan. Am J Crit Care 1996; 5: 339-345
11. 11. Faber-Langendoen K, Bartels DM: Process of foregoing life-sustaining treatment in a university hospital: An empirical study. Crit Care Med 1992; 20:570-577
12. 12. Faber-Langendoen K, Spomer A, Ingbar D: A prospective study of withdrawing mechanical ventilation from dying patients. Abstr. Am J Respir Crit Care Med 1996; 153:45
13. 13. Daly BJ, Thomas D, Dyer MA: Procedures used in withdrawal of mechanical ventilation. Am J Crit Care 1995; 5:331-338
14. 14. 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
15. 15. Smedira NG, Evans BH, Grais LS, et al: Withholding and withdrawal of life support from the critically ill. N Engl J Med 1990; 322:309-315
16. 16. Wilson WC, Smedira NG, Fink C, et al: Ordering and administration of sedatives and analgesics during the withholding and withdrawal of life support from critically ill patients. JAMA 1992; 267:949-953
17. 17. Shekleton ME, Burns SM, Clochesy JM, et al: Terminal weaning from mechanical ventilation: A review. AACN Clin Issues 1994; 5:523-533
18. 18. Teasdale G, Jennett B: Assessment of coma and impaired consciousness. Lancet 1974; ii:81-83
19. 19. Knaus WA, Draper EA, Wagner DP, et al: APACHE II: A severity of disease classification system. Crit Care Med 1985; 13:818-829
20. 20. Bizek KS: Optimizing sedation in critically ill mechanically ventilated patients. Critical Care Nursing Clinics of North America 1995; 7:315-325
21. 21. Ambuel B, Hamlett KW, Marx CM, et al: Assessing distress in pediatric intensive care environments: The COMFORT scale. J Ped Psych 1992; 17:95-109
22. 22. Teasdale G, Knill-Jones R, van der Sande J: Observer variability in assessing impaired consciousness and coma. J Neurol Neurosurg Psychiatry 1978; 41:603-610
23. 23. Aspect Medical Systems: The Aspect A-1000 bispectral (BIS) index manual. Natick, MA, Aspect Medical Systems, 1996
24. 24. Kearse L, Saini V, de Bros F, et al: Bispectral analysis of EEG may predict anesthetic depth during narcotic infusion. Abstr. Anesthesiology 1991; 75:A175
25. 25. Vernon J, Bowles S, Sebel PS, et al: EEG bispectrum predicts movement at incision during isoflurane or propofol anesthesia. Abstr. Anesthesiology 1992; 77:A502
26. 26. Liu J, Singh H, White PF: Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation. Anesthesiology 1996; 84: 64-69
27. 27. Ramsay M, Savege TM, Simpson ER, et al: Controlled sedation with aphaxalone-alphadolone. BMJ 1974; 2:656-659
28. 28. Hansen-Flaschen J, Cowen J, Poloman RC: Beyond the Ramsay scale: Need for a validated measure of sedating drug efficacy in the intensive care unit. Crit Care Med 1994; 22:732-733
29. 29. Solomon M, O'Donnell L, Jennings B, et al: Decisions near the end of life: Professional views on life-sustaining treatments. Am J Pub Health 1993; 83:14-23
30. 30. Grippen D: Terminally weaning awake patients from life-sustaining mechanical ventilation: The critical care physician's role in comfort measures during the dying process. Clin Intensive Care 1992; 3:206-212
31. 31. Campbell ML, Bizek KS, Stewart R: Integrating technology with compassionate care: Withdrawal of ventilation in a conscious patient with apnea. Am J Crit Care 1998; 7:85-89
32. 32. Strother A: Drawing the line between life and death. AJN 1991; 91:24-25