Therapeutic termination in cardiological intensive care units: decision-making criteria between ethics and clinical studies

被引：2

作者：

Romano, Massimo ^{[1
]}

机构：

[1] Azienda Osped Prov Pavia, Osped Vigevano, SC Cardiol, Pavia, Italy

来源：

GIORNALE ITALIANO DI CARDIOLOGIA | 2011年 / 12卷 / 01期

关键词：

Coronary artery disease; Coronary care units; Palliative care; Withdrawing treatment; Withholding treatment;

D O I：

10.1714/547.6499

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In the last years dramatic changes in clinical and epidemiological characteristics of patients admitted to cardiac intensive care units have been observed. Aging population, non-ischemic cardiovascular diseases, acute and chronic severe comorbidities, all increased the susceptibility to develop life-threatening critical settings. In this context, palliative care programs are needed more frequently. In this review, the ethical and clinical criteria to withdrawing and withholding artificial cardiocirculatory, respiratory and renal supports are analyzed, as well as the cultural delays of cardiologists involved in this peculiar clinical setting.

引用

页码：50 / 57

页数：8

共 39 条

[21] The study protocol of: ‘Initiating end of life care in stroke: clinical decision-making around prognosis’ [J].

Christopher R Burton ;

Sheila Payne ;

Mary Turner ;

Tracey Bucknall ;

Jo Rycroft-Malone ;

Pippa Tyrrell ;

Maria Horne ;

Lupetu Ives Ntambwe ;

Sarah Tyson ;

Helen Mitchell ;

Sion Williams ;

Salah Elghenzai .

BMC Palliative Care, 13

[22] Exploring Health Care Professionals' Perceptions Regarding Shared Clinical Decision-Making in Both Acute and Palliative Cancer Care [J].

Ullgren, Helena ;

Sharp, Lena ;

Fransson, Per ;

Bergkvist, Karin .

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (23)

[23] Communication tools for end-of-life decision-making in the intensive care unit: a systematic review and meta-analysis [J].

Simon J. W. Oczkowski ;

Han-Oh Chung ;

Louise Hanvey ;

Lawrence Mbuagbaw ;

John J. You .

Critical Care, 20

[24] Communication tools for end-of-life decision-making in the intensive care unit: a systematic review and meta-analysis [J].

Oczkowski, Simon J. W. ;

Chung, Han-Oh ;

Hanvey, Louise ;

Mbuagbaw, Lawrence ;

You, John J. .

CRITICAL CARE, 2016, 20

[25] End-of-life decision-making in the emergency department and intensive care unit: Health professionals' perspectives on and knowledge of the law in Queensland [J].

Hewitt, Jayne ;

Alsaba, Nemat ;

May, Katya ;

Kang, Evelyn ;

Cartwright, Colleen ;

Willmott, Lindy ;

White, Ben ;

Marshall, Andrea P. .

EMERGENCY MEDICINE AUSTRALASIA, 2024, 36 (03) :429-435

[26] Effectiveness of Individual Feedback and Coaching on Shared Decision-making Consultations in Oncology Care: Protocol for a Randomized Clinical Trial [J].

van Veenendaal, Haske ;

Peters, Loes J. ;

Ubbink, Dirk T. ;

Stubenrouch, Fabienne E. ;

Stiggelbout, Anne M. ;

Brand, Paul L. P. ;

Vreugdenhil, Gerard ;

Hilders, Carina G. J. M. .

JMIR RESEARCH PROTOCOLS, 2022, 11 (04)

[27] Parental experiences of end of life care decision-making for children with life-limiting conditions in the paediatric intensive care unit: a qualitative interview study [J].

Mitchell, Sarah ;

Spry, Jenna L. ;

Hill, Emma ;

Coad, Jane ;

Dale, Jeremy ;

Plunkett, Adrian .

BMJ OPEN, 2019, 9 (05)

[28] Does Decision-making in End-of-life Care Differ Between Graduating Medical Students and Experienced Physicians? [J].

Alminoja, Aleksi ;

Piili, Reetta P. ;

Hinkka, Heikki ;

Metsanoja, Riina ;

Hirvonen, Outi ;

Tyynela-Korhonen, Kristiina ;

Kaleva-Kerola, Jaana ;

Saarto, Tiina ;

Kellokumpu-Lehtinen, Pirkko-Liisa, I ;

Lehto, Juho T. .

IN VIVO, 2019, 33 (03) :903-909

[29] Decision-making regarding withdrawal of life-sustaining treatment and the role of intensivists in the intensive care unit: a single-center study [J].

Lee, Seo In ;

Hong, Kyung Sook ;

Park, Jin ;

Lee, Young-Joo .

ACUTE AND CRITICAL CARE, 2020, 35 (03) :179-188

[30] The clinical practice guideline palliative care for children and other strategies to enhance shared decision-making in pediatric palliative care; pediatricians' critical reflections [J].

Dreesens, Dunja ;

Veul, Lotte ;

Westermann, Jonne ;

Wijnands, Nicole ;

Kremer, Leontien ;

van der Weijden, Trudy ;

Verhagen, Eduard .

BMC PEDIATRICS, 2019, 19 (01)

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