2017
DOI: 10.15343/0104-7809.20174103385394
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Palliative extubation: case analysis in an Intensive Care Unit

Abstract: Current technological advancements have allowed for the prolongation of the dying process, especially in Intensive Care Units (ICU). This has increased the need for decisions on the limitation of therapeutic effort (LTE), such as the use of palliative extubation that, although difficult from an emotional standpoint, has legal and ethical justifications, and has increased family acceptance. The objective was to evaluate the clinical and demographical profile of patients submitted to palliative extubation (PT) i… Show more

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Cited by 2 publications
(4 citation statements)
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References 22 publications
(37 reference statements)
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“…We failed to capture the exact moment when providers decided to recommend palliative extubation to patients, but the median duration of mechanical ventilation in our cohort is comparable to contemporary reports 3,10,17,21 . We were also unable to assess death cases after withdrawing vasopressors, renal replacement therapy, and other life-sustaining interventions while preparing for palliative extubation.…”
Section: Discussionmentioning
confidence: 46%
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“…We failed to capture the exact moment when providers decided to recommend palliative extubation to patients, but the median duration of mechanical ventilation in our cohort is comparable to contemporary reports 3,10,17,21 . We were also unable to assess death cases after withdrawing vasopressors, renal replacement therapy, and other life-sustaining interventions while preparing for palliative extubation.…”
Section: Discussionmentioning
confidence: 46%
“…Most family members would likely prefer the choice to shorten the dying process of the patients by withdrawing the ventilator 18 . In Brazil, however, palliative extubation is seldom performed 3 5 : 50.2% of Brazilian intensivists admit fear of litigation, although over 75% claim to have received specific palliative care training 19 . A survey 20 collected responses from 105 ICU physicians in Brazil in 2012 regarding a case vignette of a critically ill patient with post-cardiac arrest encephalopathy and sepsis: none would perform palliative extubation.…”
Section: Discussionmentioning
confidence: 99%
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“…Segundo estudo realizado na unidade de terapia intensiva (UTI) de um Hospital Universitário, grande parte dos pacientes, que foram submetidos à extubação paliativa, é de idosos, acometidos por doenças neurológicas, tendo como tempo de vida pós-procedimento variável de minutos a dias, porém sua maioria foi a óbito após 24 horas. Rebelatto e Moritz 22 pós-extubação está relacionado à gravidade da doença, e não à retirada do suporte ventilatório. Já subsequente a este estudo, em outra pesquisa, observou-se que grande parte dos pacientes analisados foi a óbito no local onde foi realizada a extubação paliativa, no próprio hospital.…”
Section: Discussionunclassified