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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 · Most hospital deaths for patients with severe brain injuries follow decisions to withdraw life support. 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.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2652778/
In withdrawing care, there is a clearer imperative for the doctor to include patients (or proxies) in decisions, share information and secure consent, even when continued life support is deemed futile.Cited by: 33
https://journal.chestnet.org/article/S0012-3692(17)30820-6/pdf
withdraw life-sustaining treatment during their ICU stay were older, had higher SAPS II and SOFA scores, more organ failures, and were receiving more organ …
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
https://www.uptodate.com/contents/withholding-and-withdrawing-ventilatory-support-in-adults-in-the-intensive-care-unit
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https://www.atsjournals.org/doi/full/10.1164/ajrccm.162.6.1-00
Dec 01, 2000 · Studies have demonstrated that most patients who die in intensive care units (ICUs) in the United States do so during the withholding and withdrawal of life support and the administration of palliative care. Withholding and withdrawal of life support is a process through which various medical interventions are either not given to patients or removed from them with the expectation that the …Cited by: 119
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.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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