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02.05.2024 | Editorial

Caring for the dying patient in ICU

verfasst von: Shahla Siddiqui, Lara Kretzer, Victoria Metaxa

Erschienen in: Intensive Care Medicine | Ausgabe 8/2024

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Once the patient, their families and the team in intensive care unit (ICU) has recognised and accepted that the end-of-life (EOL) is approaching, it becomes important for all involved to care for the patient in a manner congruent with their values and preferences [1]. Ideally, these have been documented well before the patient loses mental capacity, but often this is not the case [2]. In situations where the patient lacks self-determination, the shared decision-making model (a collaborative process between the patient, family/surrogates and clinicians) has been widely proposed [3]. In this article, we aim to provide a framework for caring for the critically ill ICU patient, after a shared decision to limit life-sustaining treatment has been reached. We hope that such guidance can be helpful, despite the worldwide variance of EOL practices, the different existing legal frameworks and potential barriers (supplementary Table 1). …

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Sprung CL, Ricou B, Hartog CS, Maia P, Mentzelopoulos SD, Weiss M, Levin PD, Galarza L, de la Guardia V, Schefold JC, Baras M, Joynt GM, Bülow HH, Nakos G, Cerny V, Marsch S, Girbes AR, Ingels C, Miskolci O, Ledoux D, Mullick S, Bocci MG, Gjedsted J, Estébanez B, Nates JL, Lesieur O, Sreedharan R, Giannini AM, Fuciños LC, Danbury CM, Michalsen A, Soliman IW, Estella A, Avidan A (2019) Changes in end-of-life practices in european intensive care units from 1999 to 2016. JAMA 322(17):1692–1704. https://doi.org/10.1001/jama.2019.14608CrossRefPubMedPubMedCentral

Titel: Caring for the dying patient in ICU
verfasst von: Shahla Siddiqui
Lara Kretzer
Victoria Metaxa
Publikationsdatum: 02.05.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 8/2024
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-024-07442-3

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