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https://www.verywellhealth.com/withhold-or-withdraw-life-sustaining-measures-1132314
The decision of when to withdraw life support or whether to begin it at all is a sticky one, muddled with confusing terms and strong emotions. A notable case in the media was that of Terry Schiavo in 2005. Her case dealt with whether her husband could decide to discontinue her artificial nutrition.
https://www.nih.gov/news-events/news-releases/prolonging-withdrawal-life-support-icu-affects-family-satisfaction-care
When such a patient is dying and the decision is reached to withdraw life support, these clinicians may make an imperfect compromise in seeking to balance the complex needs of the patient and the patient’s family — they may remove the life support measures one at a time over a period of days, rather than withdrawing all at once.
https://www.ama-assn.org/delivering-care/ethics/withholding-or-withdrawing-life-sustaining-treatment
When facing decisions about withholding or withdrawing life- sustaining treatment the physician should: (a) Review with the patient the individual’s advance directive, if there is one. Otherwise, elicit the patient’s values, goals for care, and treatment preferences.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1124803/
Dec 07, 2002 · In a survey of critical care physicians, 85% of respondents had withheld or withdrawn life support in the preceding year. A US study showed a large increase in the proportion of deaths in intensive care that were preceded by a decision to withhold or withdraw life support, from 50% in 1987-88 to over 90% in 1992-93.Cited by: 162
https://medicalxpress.com/news/2019-06-critical-doctors-life-patients-brain.html
Jun 17, 2019 · Decisions to withdraw life support treatments in critically ill patients with severe brain injury are complicated, are based on many factors, and are usually made by critical care physicians and families in the intensive care unit.
https://www.reliasmedia.com/articles/39472-withdrawing-life-support-decisionmaking-and-process
Once the issue was raised, a decision to withdraw life support was made at the first meeting in most cases (63%), although a minority (5%) required four or more meetings. Slightly more than half (52%) of the patients had life support withdrawn within one hour of the decision and 77% within 10 hours.
https://healthmanagement.org/c/icu/news/withdrawing-life-support-for-patients-with-brain-injury
Jul 03, 2019 · The decision to withdraw life support from patients with severe brain injuries is one that cannot be taken lightly. In a study conducted in CMAJ (Canadian Medical Association Journal), critical care physicians were asked about the decision-making process when it comes to withdrawing life-sustaining treatment.
http://www1.lasalle.edu/~dolan/euthanasia/Decisions%20to%20Withdraw%20Life-Sustaining%20Treatment%20A%20Moral%20Algorithm.htm
A General Framework for Decisions to Withhold or Withdraw Treatment. ... life support may be withdrawn. This allows the natural history of the disease to take its course. It removes the impediment to inevitable death that futile treatments impose. ... A General Framework for Decisions to Withhold or Withdraw Treatment.
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