Palliative Sedation of Terminally ill Patients

被引:0
作者
Nogueira, Fabiola Leite [1 ]
Sakata, Rioko Kimiko [1 ]
机构
[1] Univ Fed Sao Paulo, Dept Anesthesiol Pain & Intens Care, Sao Paulo, Brazil
来源
REVISTA BRASILEIRA DE ANESTESIOLOGIA | 2012年 / 62卷 / 04期
关键词
Deep Sedation; Neoplasms; Palliative Care; CARE-UNITS; LIFE; THERAPY; END; RECOMMENDATIONS; MULTICENTER;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Nogueira FL, Sakata RK - Palliative Sedation of Terminally ill Patients. Background and objectives: Although there is extensive discussion on the subject in medical literature, most of the questions still unanswered due to the lack of clear definitions and guidelines, in addition to a large number of contradictions in literature. The aim of this review is to try to determine the best form of sedation for patients with cancer. Content: The following data on sedation were collected: definitions, classifications, major events and indication criteria, selection of drugs used, drugs most used, doses and routes, duration of sedation, nutritional support and hydration during sedation, and sedation at home. Conclusions: Although in recent years palliative sedation is being considered a normal medical practice, there are still many gaps in our current understanding. There is no consensus about which are the standard drugs, maintenance or not of food, fluid intake, and hydration. Moreover, there is no ethical clarification on possible life-shortening effects and decision-making process.
引用
收藏
页码:580 / 592
页数:13
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