2004, Number 6
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Med Crit 2004; 18 (6)
End-of-life phase in the intensive care unit
Carrillo ER, Carvajal RR, Villaseñor OP
Language: Spanish
References: 51
Page: 173-191
PDF size: 163.70 Kb.
ABSTRACT
In the United States 2.5 millions people die annually, 60% in hospitals and 50% required intensive care unit (ICU) attention. End-of-life phase and it approach has become a very important medical aspect in the last years in the ICU. It requires a formal training of every physician involved in care of critically ill under guidance of the intensivist. Recently, it’s been shown that not only curative care, but palliative care are fundamental in the management of patients admitted to the ICU. The common concepts related to end-of-life phase are: life support therapy, life support withdrawal, life support with holding, quality of life, quality of death, appropriate death, terminal sedation, terminal weaning, brain death, organ donation, autopsy request and how to give bad news. In the context of end-of-life phase, the knowledge of patient’s interests and will, the medico-legal framework, ethnic group and their social-cultural-religious characteristics and communication with the family and the medical and paramedical group are fundamental for a consensus about the end-of-life taking to account ethical and legal endpoints.
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