The refusal of medical treatment at intensive care units: Withholding and withdrawing treatment at the intensive care units of the University Hospital of Innsbruck;Durchfuhrung therapielimitierender massnahmen an intensivmedizinischen stationen: Therapieabbruch, therapiereduktion und therapieverzicht an den intensivmedizinischen abteilungen der Universitatskliniken Innsbruck

Wiener Klinische Wochenschrift

Volumn 111, Issue 19, 1999, Pages 802-809

  Schobersberger, Wolfgang ^a,e   Fries, Dietmar ^a   Hasibeder, Walter ^a   Schwamberger, Helmut ^b   Klingler, Anton ^c   Antretter, Volkmar ^a   Kofler, Alexandra ^d   Hackl, Johann M ^a  

^a Klin Anasthesie/Allg I   (Austria)

^b Amt der Tiroler Landesregierung   (Austria)

^c UNIVERSITY OF INNSBRUCK   (Austria)

^d Universitatsklinik fur Neurochirurgie Innsbruck   (Austria)

^e Klin Abt Allg Chir Intensivmed   (Austria)

Author keywords

Ethics; Intensive care medicine; Withdrawing treatment; Withholding treatment

Indexed keywords

ANALGESIA; ANTIBIOTIC THERAPY; ARTICLE; ARTIFICIAL VENTILATION; HEMOFILTRATION; INTENSIVE CARE; MEDICAL DECISION MAKING; MEDICAL PRACTICE; SEDATION; AUSTRIA; HEALTH PERSONNEL ATTITUDE; HUMAN; INTENSIVE CARE UNIT; MEDICAL STAFF; PASSIVE EUTHANASIA; RESUSCITATION; UNIVERSITY HOSPITAL;

ATTITUDE OF HEALTH PERSONNEL; AUSTRIA; EUTHANASIA, PASSIVE; HOSPITALS, UNIVERSITY; HUMANS; INTENSIVE CARE UNITS; MEDICAL STAFF, HOSPITAL; RESUSCITATION ORDERS;

EID: 0033569199     PISSN: 00435325     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (38)

1. Loewy EH (1996) Ethik in der Medizin: Wissen wir das nicht von selbst? Einführung in eine neue Sektion. Wien Klin Wochenschr 108/16: 489-490
2. Schuster HP (1997) Intensivmedizin - Medizin ohne Ethik? Wien Klin Wochenschr 109/4: 101-103
3. Faber-Langendoen K, Bartels D (1992) Process of forgoing life-sustaining treatment in a university hospital: An empirical study. Crit Care Med 20: 570-577
4. Manara A, Pittman J, Braddon F (1997) Reasons for withdrawing treatment in patients receiving intensive care. Anaesthesia 53: 523-528
5. Keenan S, Busche K, Chen L, McCarthy L, Inman K, Sibbald W (1997) A retrospective review of a large cohort of patients undergoing the process of withholding or withdrawl of life support. Crit Care Med 25: 1324-1331
6. Smedira N, Evans B, Grais L, Cohen N, Lo B, Cooke M, Schechter W, Fink C, Epstein-Jaffe E, May C, Luce J (1990) Withholding and withdrawl of life support from the critical ill. N Engl J Med 322: 309-315
7. Sprung C, Eidelman L (1996) Worldwide similarities and differences in the forgoing of life-sustaining treatments. Intensive Care Med 22: 1003-1005
8. Fries D, Kofler A, Hackl J, Schwamberger H, Klingler A, Antretter V, Schobersberger W (1999) Die Problematik des DNR-Vermerks an Intensivmedizinischen Stationen: Eine Evaluierung des Ist-Zustandes an den Intensivmedizinischen Abteilungen der Universitätsklinik Innsbrucks. Wien Klin Wochenschr 111/4: 161-168
9. Kneihs B (1997) Grundrechte und Sterbehilfe. Juristische Schriftenreihe 121: 514-521
10. Iserson V (1996) Withholding and withdrawing medical treatment: an emergency medicine persective. Ann Emerg Med 28: 51-54
11. Eidelman L, Jakobson D, Pizov R, Geber D, Leibovitz L, Sprung C (1998) Forgoing life-sustainig treatment in an Israeli ICU. Intensive Care Medicine 24: 162-166
12. Vincent J (1990) European attitudes towards ethical problems in intensive care medicine: results of an ethical questinaire. Intensive Care Med 16: 256-264
13. Turner J, Michell W, Morgan C, Benatar S (1996) Limitation of life support: frequency and practice in a London and a Cape Town intensive care unit. Intensive Care Med 22: 1020-1025
14. Wood G, Martin E (1995) Witholding and withdrawing life-sustaining therapy in a Canadian intensive care unit. Can J Anaesth 42: 186-191
15. Daffurn K, Kerridge R, Hillman K (1993) Active management of the dying patient. Med J Aust 158/4: 288
16. Asch D, Hansen-Flaschen J, Lanken P (1995) Decision to limit or continue life-sustaining treatment by critical care physicians in the United States: Conflicts between physicians practice and patients wishes. Am J Respir Crit Care Med 151: 288-292
17. Society of Critical Care Medicine (1992) Attitudes of critical care medicine professionals concerning forgoing life-sustaining treatments. Crit Care Med 20: 320-326
18. ACCP/SCCM consensus panel (1990) Ethical and moral guidelines for the initiation, continuation and withdrawl of intensive care. Chest 4: 949-958
19. Task Force on Ethics of the Society of Critical Care Medicine (1990) Consensus report on the ethics of foregoing life-sustaining treatments in the critically ill. Crit Care Med 18: 1435-1439
20. American College of Physicians Ethics Manual (1992) Third edition. Ann Intern Med 117: 947-960
21. Beauchamp T, Childress J (1989) Principles of biomedical ethics. Oxford University Press, New York, pp 148-150
22. Memmer M (1996) Das Patiententestament. Recht der Medizin: 99-107
23. List WF (1997) Ethik in der Medizin. Anästhesist 46: 261-266
24. Neu S, Kjellstrand C (1986) Stopping long-term dialysis. An empirical study of withdrawl of life supporting treatment. N Engl J Med 314/1: 14-20
25. Sulmasy D, Terry P, Miller D, Stallings R, Vettese M, Haller K (1998) The accuracy of substituted judgements in patients with terminal diagnoses. Ann Intern Med 128: 621-629
26. Esserman L, Belkora J, Lenert L (1995) Potentially ineffective care: a new outcome to assess the limits of critical care. JAMA 274: 1544-1551
27. Lubitz J, Riley G, (1993) Trends in Medicare payments in the last year of life. N Engl J Med 328: 1092-1096
28. Bamberger P, Maniscalco-Theberge M, Pearl R, Jacques D (1969) Death and dollars:the cost of dying in the surgical intensive care unit. J Trauma 40: 39-41
29. Todres I, Armstrong A, Lally P, Cassem E (1998) Negotiating end of life issues. New Horizons 6: 374-382
30. Brody H, Campbell M, Faber-Langendoen K, Ogle K (1997) Withdrawing intensive life sustaining treatment-recomendations for compassionate clinical management. N Engl J Med 336 :652-657
31. Bone R (1994) Consensus statement on the triage of critically ill patients. JAMA 271: 1200-1203
32. Koeck CM, Hemenway D, Donelan K, Lipsitz S (1998) Using a hypothetical case to measure differences in treatment aggressiveness among physicians in Canada, Germany and the United States. Wien Klin Wochenschr 110/22: 783-788
33. Melltorp G, Nilston T (1996) Decisions to forego life-sustaining treatment and the duty of documentation. Intensive Care Med 22: 1015-1019
34. Christakis N, Asch D (1993) Biases in how physicians choose to withdraw life support. Lancet 342: 642-646
35. Levetown M (1998) Palliative care in the intensive care unit. New Horizons 6: 383-397
36. Quill T, Dresser R, Brock D (1997) The rule of double effect-a critique of its role in end of life decision making. N Engl J Med 336: 1768-1771
37. Wilson W, Smedira N, Fink C, McDowell J, Luce J (1992) Ordering and administration of sedatives and analgesics during the withholding and withdrawl of life support from critically ill patients. JAMA 267:949-953
38. Faber-Langendoen K (1994) The clinical management of dying patients receiving mechanical ventilation. A survey of physician practice. Chest 106: 880-888