Withholding and withdrawal of life-sustaining treatment in a Lebanese intensive care unit: A prospective observational study

Intensive Care Medicine

Volumn 31, Issue 4, 2005, Pages 562-567

  Yazigi, Alexandre ^a   Riachi, Moussa ^a   Dabbar, Georges ^a  

^a SAINT JOSEPH UNIVERSITY   (Lebanon)

Author keywords

Ethics; Lebanon; Medical futility; Middle East; Withdrawing life sustaining treatment; Withholding life sustaining treatment

Indexed keywords

ANALGESIC AGENT; SEDATIVE AGENT;

ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL PRACTICE; CULTURAL ANTHROPOLOGY; FAMILY; FEMALE; FOLLOW UP; HUMAN; INTENSIVE CARE UNIT; LEBANON; LONG TERM CARE; MALE; MEDICAL DECISION MAKING; MEDICAL ETHICS; MEDICAL RECORD; MORTALITY; NURSING STAFF; PROSPECTIVE STUDY; QUALITY OF LIFE; TREATMENT OUTCOME; TREATMENT WITHDRAWAL; UNIVERSITY HOSPITAL;

DEATH AND EUTHANASIA; EMPIRICAL APPROACH;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; DECISION MAKING; FEMALE; HUMANS; INTENSIVE CARE UNITS; LEBANON; LIFE SUPPORT CARE; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; TERMINAL CARE; WITHHOLDING TREATMENT;

EID: 17444376395     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-005-2578-4     Document Type: Article

References (31)

1. Azoulay E, Pochard F, Garrouste-Orgeas M, Moreau D, Montesino L, Adrie C, De Lassence A, Cohen Y, Timsit JF, on the behalf of the outcomerea group (2003) Decisions to forgo life-sustaining therapy in ICU patients independently predict hospital death. Intensive Care Med 29:1895-1901
2. Prendergast TJ, Luce JM (1997) Increasing incidence of withholding and withdrawal of life sustaining treatment from the critically ill. Am J Respir Crit Care Med 155:15-20
3. Wood GG, Martin E (1995) Withholding and withdrawing life-sustaining therapy in a Canadian intensive care unit. Can J Anaesth 42:186-191
4. Faber-Langendoen K, Bartels DM (1992) Process of forgoing life-sustaining treatment in a university hospital: an empirical study. Crit Care Med 20:570-577
5. Pochard F, Azoulay E, Chevret S, Lemaire F, Hubert P, Canoui P, Grassin M, Zittoun R, Le Gall JR, Dhainaut JF, Schlemmer B, for the French FAMIREA group (2001) Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit Care Med 29:1893-1897
6. Vincent JL (2001) Cultural differences in end-of-life care. Crit Care Med 29 [Suppl]:N52-N55
7. Bone RC, Rackow EC, Weg JG (1990) Ethical and moral guidelines for the initiation, continuation, and withdrawal of intensive care. Chest 97:949-957
8. Levy MM (2001) Evaluating our end-of-life practice. Crit Care 5:182-183
9. Keenan SP, Busche KD, Chen LM, McCarthy L, Inman KJ, Sibbald WJ (1997) A retrospective review of a large cohort of patients undergoing the process of withholding or withdrawal of life sustaining. Crit Care Med 25:1324-1331
10. Prendergast TJ, Claessens MT, Luce JM (1998) A national survey of end-of-life care for critically ill patients. Am J Respir Crit Care Med 158:1163-1167
11. Treece PD, Engelberg RA, Crowley L, Chan JD, Rubenfeld GD, Steinberg KP, Curtis JR (2004) Evaluation of a standardized order form for the withdrawal of life sustaining treatment in the intensive care unit. Crit Care Med 32:1141-1148
12. McLean RF, Tarshis J, Mazer D, Szalai JP (2000) Death in two Canadian intensive care units: institutional difference and changes over time. Crit Care Med 28:100-103
13. Chan JD, Treece PD, Engelberg RA, Crowley L, Rubenfeld GD, Steinberg KP, Curtis JR (2004) Narcotic and benzodiazepine use after withdrawal of life sustaining. Association with time to death? Chest 126:286-293
14. Hall RI, Rocker GM, Murray D (2004) Simple changes can improve conduct of end-of-life care in the intensive care unit. Can J Anaesth 51:631-636
15. Giannini A, Pessina A, Tacchi EM (2003) End-of-life decisions in intensive care units: attitudes of physicians in an Italian urban setting. Intensive Care Med 29:1902-1910
16. Nolin T, Andersson R (2003) Withdrawal of medical treatment in the ICU. A cohort study of 318 cases during 1994-2000. Acta Anaesthesiol Scand 47:501-507
17. Ferrand E, Robert R, Ingrand P, Lemaire F, for the French LATAREA group (2001) Withholding and withdrawal of life sustaining treatment in intensive-care units in France: a prospective survey. Lancet 357:9-14
18. Vincent JL (1999) Forgoing life sustaining treatment in western European intensive care units: the results of an ethical questionnaire. Crit Care Med 27:1626-1633
19. Esteban A, Gordo F, Solsona JF, Alia I, Caballero J, Bouza C, Alcala-Zamora J, Cook DJ, Sanchez JM, Abizanda R, Miro G, Fernandez Del Cabo MJ, De Miguel E, Santos JA, Balerdi B (2001) Withdrawing and withholding life sustaining treatment in the intensive care unit: a Spanish prospective multi-centre observational study. Intensive Care Med 27:1744-1749
20. Turner JS, Michell WL, Morgan CJ, Benatar SR (1996) Limitation of life sustaining: frequency and practice in a London and a Cape Town intensive care unit. Intensive Care Med 22:1020-1025
21. Adib SM, Kawas SH, Hajjar TA (2003) End-of-life issues as perceived by Lebanese judges. Developing World Bioethics 3:10-26
22. Chang RW, Lee B, Jacobs S, Lee B (1989) Accuracy of decisions to withdraw therapy in critically ill patients: clinical judgment versus a computer model. Crit Care Med 17:1091-1997
23. Costa DE, Ghazal H, Al Khusaiby S (2002) Do not resuscitate orders and ethical decisions in a neonatal intensive care unit in a Muslim community. Arch Dis Child Fetal Neonatal Ed 86:F115-F119
24. Eidelman LA, Jakobson DJ, Pizov R, Geber D, Leibovitz L, Sprung CL (1998) Foregoing life-sustaining treatment in an Israeli ICU. Intensive Care Med 24:162-166
25. Iyilikçi L, Erbayraktar S, Gökmen N, Ellidokuz H, Kara HC, Günerli A (2004) Practices of anaesthesiologists with regard to withholding and withdrawal of life sustaining treatment from the critically ill in Turkey. Acta Anaesthesiol Scand 48:457-462
26. Maksoud L, Jahnigen DW, Skibinski CI (1993) Not resuscitate orders and the cost of Death. Arch Intern Med 153:1249-1253
27. Lofmark R, Nilstun T (1997) Deciding not to resuscitate. Responsibilities of physicians and nurses: a proposal. Scand J Caring Sci 11:207-211
28. Support Principal Investigators (1995) A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (Support). JAMA 274:1591-1598
29. Sonnenblick M, Gratch L, Raveh D, Steinberg A, Yinnon AM (2003) Epidemiology of decision on life-sustaining treatment in the general internal medicine division. Harefuah 142:650-653
30. Way J, Back AL, Curtis JR (2002) Withdrawing life sustaining treatment and resolution of conflict with families. BMJ 325:1342-1345
31. Carlet J, Thijs LG, Antonelli M, Cassell J, Cox P, Hill N, Hinds C, Pimentel JM, Reinhart K, Thompson BT (2004) Challenges in end-of-life care in the ICU. Statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003. Intensive Care Med 30:770-84