Update and recommendations in decision making referred to limitation of advanced life support treatment
| Autor: | Á, Estella, I, Saralegui, O, Rubio Sanchiz, A, Hernández-Tejedor, V, López Camps, M C, Martín, L, Cabré Pericas, N, Masnou Burralló, M, Recuerda Nuñez, J L, Monzón |
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| Rok vydání: | 2019 |
| Předmět: |
Terminal Care
Tissue and Organ Procurement Communication Critical Illness Clinical Decision-Making Palliative Care Life Support Care Treatment Refusal Withholding Treatment Airway Extubation Humans Burnout Professional Decision Making Shared Medical Futility Quality Indicators Health Care Resuscitation Orders |
| Zdroj: | Medicina intensiva. 44(2) |
| ISSN: | 2173-5727 |
| Popis: | The Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) Bioethics Working Group has developed recommendations on the Limitation of Advanced Life Support Treatment (LLST) decisions, with the aim of reducing variability in clinical practice and of improving end of life care in critically ill patients. The conceptual framework of LLST and futility are explained. Recommendations referred to new forms of LLST encompassing also the adequacy of other treatments and diagnostic methods are developed. In addition, planning of the possible clinical courses following the decision of LLST is commented. The importance of advanced care planning in decision-making is emphasized, and intensive care oriented towards organ donation at end of life in the critically ill patient is described. The integration of palliative care in the critical patient treatment is promoted in end of life stages in the Intensive Care Unit. |
| Databáze: | OpenAIRE |
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