The Durban World Congress Ethics Round Table Conference Report: III. Withdrawing Mechanical ventilation-the approach should be individualized

Journal of Critical Care

Volumn 29, Issue 6, 2014, Pages 902-907

  Paruk, Fathima ^a   Kissoon, Niranjan ^b   Hartog, Christiane S ^c   Feldman, Charles ^a   Hodgson, Eric R ^d   Lipman, Jeffrey ^e   Guidet, Bertrand ^f   Du, Bin ^g   Argent, Andrew ^h   Sprung, Charles L ⁱ  

^a UNIVERSITY OF THE WITWATERSRAND   (South Africa)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^c JENA UNIVERSITY HOSPITAL   (Germany)

^d UNIVERSITY OF KWAZULU NATAL   (South Africa)

^e ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^f HÔPITAL SAINT ANTOINE   (France)

^g PEKING UNION MEDICAL COLLEGE HOSPITAL   (China)

^h UNIVERSITY OF CAPE TOWN   (South Africa)

ⁱ HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

Author keywords

Ethics; Life sustaining treatments; Mechanical ventilation; Withdrawing; Withholding

Indexed keywords

ANALGESIA; ANXIETY; ARTICLE; ARTIFICIAL VENTILATION; CONSENSUS DEVELOPMENT; DYSPNEA; EXTUBATION; HEALTH CARE PRACTICE; HUMAN; MEDICAL DOCUMENTATION; MEDICAL ETHICS; NAUSEA AND VOMITING; NEUROMUSCULAR BLOCKING; PATIENT CARE; PERSONALIZED MEDICINE; SYMPTOM; INTENSIVE CARE; ORGANIZATION; QUESTIONNAIRE; SOUTH AFRICA; STATISTICS AND NUMERICAL DATA; TREATMENT WITHDRAWAL;

CONGRESSES AS TOPIC; CRITICAL CARE; HUMANS; QUESTIONNAIRES; RESPIRATION, ARTIFICIAL; SOUTH AFRICA; VENTILATOR WEANING; WITHHOLDING TREATMENT;

EID: 84908129676     PISSN: 08839441     EISSN: 15578615     Source Type: Journal    
DOI: 10.1016/j.jcrc.2014.05.022     Document Type: Article

References (28)

1. Prendergast T.J., Luce J.M. Increasing incidence of withholding and withdrawal of life support from the critically ill. Am J Respir Crit Care Med 1997, 155:15-20.
2. Wood G.G., Martin E. Withholding and withdrawing life-sustaining therapy in a Canadian intensive care unit. Can J Anaesth 1995, 42:186-191.
3. Koch K.A., Rodeffer H.D., Wears R.L. Changing pattern of terminal care management in an intensive care unit. Crit Care Med 1994, 22:233-243.
4. Sprung C.L., Cohen S.L., Sjokvist P., Baras M., Bulow H.H., Hovilehto S., et al. End-of-life practices in European intensive care units: the Ethicus Study. JAMA 2003, 290:790-797.
5. Azoulay E., Metnitz B., Sprung C.L., et al. End-of-life practices in 282 intensive care units: data from the SAPS 3 database. Intensive Care Med 2009, 35:623-630.
6. Prendergast T.J., Claessens M.T., Luce J.M. A national survey of end-of-life care for critically ill patients. Am J Respir Crit Care Med 1998, 158:1163-1167.
7. Wunsch H., Harrison D.A., Harvey S., et al. End-of-life decisions: a cohort study of the withdrawal of all active treatment in intensive care units in the United Kingdom. Intensive Care Med 2005, 31:823-831.
8. Sprung C.L., Maia P., Bulow H., et al. The importance of religious affiliation and culture on end-of-life decisions in European intensive care units. Intensive Care Med 2007, 33:1732-1739.
9. Bulow H.H., Sprung C.L., Reinhart K., et al. The world's major religions' points of view on end-of-life decisions in the intensive care unit. Intensive Care Med 2008, 34:423-430.
10. Faber-Langendoen K. The clinical management of dying patients receiving mechanical ventilation: a survey of physician practice. Chest 1994, 106:880-888.
11. Steinberg A., Sprung C.L. The dying patient: new Israeli legislation. Intensive Care Med 2006, 32:1234-1237.
12. Huang Y.C., Huang S.J., Ko W.J. Going home to die from surgical intensive care units. Intensive Care Med 2009, 35:810-815.
13. Sprung C.L., Paruk F., Kissoon N., Hartog C.S., Lipman J., Du B., et al. The Durban World Congress Ethics Round Table Conference Report: I. Differences between withholding and withdrawing life-sustaining treatments. Journal of Critical Care 2014, 29:890-895.
14. Rubenfeld G.D. Principles and practices of withdrawing life-sustaining treatments. Crit Care Clin 2004, 20:435-451.
15. Kross E.K., Engelberg R.A., Gries C.J., et al. ICU care associated with symptoms of depression and posttraumatic stress disorder among family members of patients who die in the ICU. Chest 2011, 139(4):795-801.
16. Grenvik A. Terminal weaning: discontinuance of life-support therapy in the terminally ill patient. Crit Care Med 1983, 11:394-395.
17. Kompanje E.J.O., van der Hoven B., Bakker J. Anticipation of distress after discontinuation of mechanical ventilation in the ICU at the end of life. Intensive Care Med 2008, 34:1593-1599.
18. Montagnini M.L., Moat M.E. Non-pain symptom management in palliative care. Clin Fam Pract 2004, 6:395-422.
19. Scalados J.E. Discontinuation of mechanical ventilation at end-of-life: the ethical and legal boundaries of physician conduct in termination of life support. Crit Care Clin 2007, 23:317-337.
20. Faber-Langendoen K., Bartels D.M. Process of foregoing life-sustaining treatment in a university hospital: an empirical study. Crit Care Med 1992, 20:570-577.
21. Truog R.D., Campbell M.L., Curtis J.R., et al. Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College of Critical Care Medicine. Crit Care Med 2008, 36:953-963.
22. O'Mahoney S., McHugh M., Zallman L., et al. Ventilator withdrawal: procedures and outcomes. J Pain Symptom Manag 2003, 26:954-961.
23. Rocker G.M., Heyland D.K., Cook D.J., et al. Most critically ill patients are perceived to die in comfort during withdrawal of life support: a Canadian multicentre study. Can J Anesth 2004, 51:623-630.
24. Chan J.D., Treece P.D., Engelberg R.A., et al. Narcotic and benzodiazepine use after withdrawal of life support: association with time to death?. Chest 2004, 126:286-293.
25. Campbell M.L., Bizek K.S., Thill M. Patient responses during rapid terminal weaning from mechanical ventilation: a prospective study. Crit Care Med 1999, 27:73-77.
26. Ankrom M., Zelesnick L., Barofsky I., et al. Elective discontinuation of life-sustaining mechanical ventilation on a chronic ventilator unit. J Am Geriatr Soc 2001, 49:1549-1554.
27. Edwards M.J. Opioids and benzodiazepines appear paradoxically to delay inevitable death after ventilator withdrawal. J Palliat Care 2005, 21:299-302.
28. Truog R.D., Cist A.F.M., Brackett S.E., et al. Recommendations for end-of-life care in the intensive care unit: the Ethics Committee of the Society of Critical Care Medicine. Crit Care Med 2001, 29:2332-2348.