“…However, in a substantial proportion of cases, artificial life support will not yield an enduring benefit for the patient, and will engender physical, emotional, spiritual and financial burdens on the patients, their families and society in general (2). Although a number of consensus documents and recommendations for end-of-life situations have been published (3,4), which have undoubtedly improved our practices in this domain (5), ICU physicians still have two major goals for patient management, namely to anticipate ICU admission where prognosis would be highly unfavourable, and to limit the use of certain lifesustaining therapies in the ICU (e.g., proposing noninvasive ventilation, but not intubation). In the literature, different approaches have been proposed for meeting these objectives, in particular advance care planning (ACP), ethics consultations, and palliative care consultations (1,(6)(7)(8)(9).…”