Update and recommendations in decision making referred to limitation of advanced life support treatment

被引：14

作者：

Estella, A. ^{[1
]}

Saralegui, I ^{[2
]}

Rubio Sanchiz, O. ^{[3
]}

Hernandez-Tejedor, A. ^{[4
]}

Lopez Camps, V ^{[5
]}

Martin, M. C. ^{[6
]}

Cabre Pericas, L. ^{[7
]}

Masnou Burrallo, N. ^{[8
]}

Recuerda Nunez, M. ^{[9
]}

Monzon, J. L. ^{[10
]}

机构：

[1] Hosp Univ Jerez, Unidad Cuidados Intensivos, Cadiz, Spain

[2] Hosp Araba, Vitoria, Araba, Spain

[3] Fundacio Althaia Xarxa Hosp Univ Manresa, Hosp St Joan Deu, Serv Cuidados Intensivos, Barcelona, Spain

[4] Hosp Univ Fdn Alcorcon, Madrid, Spain

[5] Hosp Sagunto, UCI, Valencia, Spain

[6] Hosp Torrejon, UCI, Madrid, Spain

[7] Hosp Barcelona SCIAS, Unidad Cuidados Intensivos, Barcelona, Spain

[8] Hosp Univ Girona Dr Josep Trueta, Girona, Spain

[9] Hosp Univ Puerto Real, Cadiz, Spain

[10] Hosp San Pedro, Unidad Cuidados Intensivos, Logrono, La Rioja, Spain

来源：

MEDICINA INTENSIVA | 2020年 / 44卷 / 02期

关键词：

Limitation to advanced life support treatment; End of life; Bioethics; END-OF-LIFE; INTENSIVE-CARE UNITS; PALLIATIVE CARE; HEALTH-CARE; SUSTAINING TREATMENT; TERMINAL EXTUBATION; CRITICAL ILLNESS; FAMILY-MEMBERS; ICU; QUALITY;

D O I：

10.1016/j.medin.2019.07.006

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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. (C) 2019 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.

引用

页码：101 / 112

页数：12

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