Condutas de limitação terapêutica em pacientes internados em Unidade de Terapia Intensiva

Bitencourt, Almir Galvão Vieira; Dantas, Maira Pereira; Neves, Flávia Branco Cerqueira Serra; Almeida, Alessandro de Moura; Melo, Rodrigo Morel Vieira de; Albuquerque, Lígia Carvalho de; Godinho, Tiana Mascarenhas; Agareno, Sydney; Teles, José; Farias, Augusto Manoel de Carvalho; Messeder, Octávio Henrique Coelho

doi:10.1590/s0103-507x2007000200001

Cited by 19 publications

(17 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Brazilian studies confirm this. (2,14,15) It is important to emphasize the existence legal support for refusing artificial resources. It is not considered a crime refusing therapies not effectively beneficial to the patient, which are exclusively therapeutic obstinacy.…”

Section: Discussionmentioning

confidence: 99%

“…Classically, the therapies most acknowledged as futile or useless are vasoactive drugs and dialysis methods. (14,15,(17)(18)(19)(20)(21)(22)(23) In the last years, the acceptance of withdrawing mechanic ventilation as a palliative ICU measures is growing. (9,24) Also is currently discussed the relevance of appropriate intensive care professionals' training in end-of-life patients management competencies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Percepção dos profissionais sobre o tratamento no fim da vida, nas unidades de terapia intensiva da Argentina, Brasil e Uruguai

Moritz

Deicas

Rossini³

et al. 2010

Rev. bras. ter. intensiva

View full text Add to dashboard Cite

Objective: To evaluate end-of-life procedures in intensive care units.Methods: A questionnaire was prepared by the End-of-Life Study Group of the Argentinean, Brazilian and Uruguayan Intensive Care societies, collecting data on the participants' demographics, institutions and limit therapeutic effort (LTE) decision making process. During this cross sectional study, the societies' multidisciplinary teams members completed the questionnaire either during scientific meetings or online. The variables were analyzed with the Chi-square test, with a p<0.05 significance level.Results: 420 professionals completed the questionnaire. The Brazilian units had more beds, unrestricted visit was less frequent, their professionals were younger and worked more recently in intensive care units, and more non-medical professionals completed the questionnaire. Three visits daily was the more usual number of visits for the three countries. The most influencing LTE factors were prognosis, co-morbidities, and therapeutic futility. In the three countries, more than 90% of the completers had already made LTE decisions. Cardiopulmonary resuscitation, vasoactive drugs administration, dialysis and parenteral nutrition were the most suspended/refused therapies in the three countries. Suspension of mechanic ventilation was more frequent in Argentina, followed by Uruguay. Sedation and analgesia were the less suspended therapies in the three countries. Legal definement and ethical issues were mentioned as the main barriers for the LTE decision making process.Conclusion: LTE decisions are frequent among the professionals working in the three countries' intensive care units. We found a more proactive LTE decision making trend In Argentina, and more equity for decisions distribution in Uruguay. This difference appears to be related to the participants' different ages, experiences, professional types and genders.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percepção dos profissionais sobre o tratamento no fim da vida, nas unidades de terapia intensiva da Argentina, Brasil e Uruguai

Moritz

Deicas

Rossini³

et al. 2010

Rev. bras. ter. intensiva

View full text Add to dashboard Cite

show abstract

“…(21)(22)(23) The importance of a therapeutic strategy of comfort for the dying person and family members, must be kept in mind. (21,(24)(25)(26) A study throughout Brazil disclosed that most intensivists had already taken part in discussions about WWT. (27) The ETHICUS (28) study stressed that the practice of withdrawing/withholding treatment took place in 76% of deaths in European ICU, reaching to more than 80% in the United States.…”

Section: Discussionmentioning

confidence: 99%

Avaliação das decisões médicas durante o processo do morrer

Moritz¹,

Machado²,

Heerdt³

et al. 2009

Rev. bras. ter. intensiva

View full text Add to dashboard Cite

“…This technological advancement makes health professionals feel pressured to offer patients every possible resource, regardless of prognosis 21 . However, in some cases death is inevitable, and this approach that only prolongs the process of dying often causes more suffering and pain to patients and their families 22 .…”

Section: Identifying the Limitation Of Life Supportmentioning

confidence: 99%

Cuidados paliativos e limitação de suporte de vida em terapia intensiva

Pegoraro

Paganini

2019

Rev. Bioét.

View full text Add to dashboard Cite

Resumo A limitação de suporte de vida tem sido aplicada na terapia intensiva em quadros de doença irreversível e tratamento improdutivo. Nessas situações, cuidados paliativos visam prevenir e aliviar o sofrimento e tornam-se essenciais para propiciar atenção específica e contínua para o paciente e sua família, possibilitando morte digna. Este estudo envolveu pesquisa qualitativa realizada com 37 profissionais da equipe multidisciplinar em unidade de terapia intensiva clínico-cirúrgica de hospital público em Curitiba, Paraná, Brasil. A análise temática dos dados estabeleceu quatro temas, que permitiram investigar o conhecimento da equipe sobre eles e elaborar ações de cuidados paliativos a pacientes com limitação de suporte de vida em terapia intensiva. Os profissionais reconheceram a importância dos cuidados paliativos à população em apreço naquela unidade.

show abstract

Condutas de limitação terapêutica em pacientes internados em Unidade de Terapia Intensiva

Cited by 19 publications

References 21 publications

Percepção dos profissionais sobre o tratamento no fim da vida, nas unidades de terapia intensiva da Argentina, Brasil e Uruguai

Percepção dos profissionais sobre o tratamento no fim da vida, nas unidades de terapia intensiva da Argentina, Brasil e Uruguai

Avaliação das decisões médicas durante o processo do morrer

Cuidados paliativos e limitação de suporte de vida em terapia intensiva

Contact Info

Product

Resources

About