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https://www.nih.gov/news-events/news-releases/prolonging-withdrawal-life-support-icu-affects-family-satisfaction-care
Clinicians in the intensive care unit (ICU) often care for patients who are on several life support measures at once. 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
https://healthmanagement.org/c/icu/news/to-withhold-or-withdraw-life-support-in-the-icu
May 15, 2017 · To Withhold or Withdraw Life-support in the ICU New research finds considerable worldwide variability in decisions to withhold or withdraw life-sustaining therapy in the ICU. Notably, researchers found that almost one-third of patients with a decision to withhold/withdraw life-sustaining treatment left the hospital alive.
https://healthmanagement.org/c/icu/news/withdrawing-life-support-for-patients-with-brain-injury
Jul 03, 2019 · As this population were indeed healthy before admittance to the ICU, key considerations as to the long-term prognosis and quality of life need to be considered when making these decisions. The study also revealed that the decision to withdraw life support from patients with severe brain injury varied between hospitals.
https://journal.chestnet.org/article/S0012-3692(17)30820-6/pdf
characteristics of ICU patients with a decision to withhold/withdraw life-sustaining treat- ment, including the types of supportive treatments used, patterns of organ dysfunction, and international differences, including gross national income (GNI).
https://academic.oup.com/bjaed/article/17/12/396/4107857
Sep 08, 2017 · Treatment withdrawal and end-of-life care on the ICU will always be a challenging area of ICU practice requiring an individualized approach to each patient. This review has explored the ethical concepts used to guide treatment withdrawal and highlighted best practice in communication and the process of treatment withdrawal.Cited by: 2
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 …
https://academic.oup.com/bja/article/117/2/143/2566228
May 04, 2016 · End of life decisions in the Intensive Care Unit [ICU] are difficult for patients, families and doctors alike, yet they are increasingly common; ICNARC data (UK) shows that 15–25% of those admitted will die in the ICU 1 and European data shows approximately 70% of these deaths occur after the withholding or withdrawal of life-sustaining treatments.Cited by: 12
http://www.criticalcarecanada.com/presentations/2013/protocolized_withdrawal_of_life_support.pdf
Protocolized Withdrawal of Life Support James Downar, MDCM, MHSc, FRCPC Assistant Professor, Divisions of Critical Care and Palliative Care Medicine, University of Toronto CCCF – November 11th, 2013 . Disclosure •No financial or non-financial conflicts of interest to declare .
https://www.uptodate.com/contents/withholding-and-withdrawing-ventilatory-support-in-adults-in-the-intensive-care-unit
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1124803/
Dec 07, 2002 · Neuromuscular blockers serve no therapeutic purpose during withdrawal of life support. 33 w25-w27 Although paralytic drugs can ease the family's distress by making the dying patient seem comfortable, w25 they may increase suffering by preventing clinicians …Cited by: 162
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