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https://www.uptodate.com/contents/withholding-and-withdrawing-ventilatory-support-in-adults-in-the-intensive-care-unit?sectionName=Withdrawal+of+ventilatory+support&topicRef=1634&anchor=H462277270&source=see_link
INTRODUCTION. For critically ill patients in the intensive care unit (ICU), death most commonly results from the withholding or withdrawal of ventilatory support [].However, the decision to withhold or withdraw ventilatory support is difficult for patients, families, and clinicians.
https://www.dynamed.com/management/withholding-and-withdrawing-ventilatory-support-in-adults-in-the-intensive-care-unit/
ethical principles guiding withdrawal of life-sustaining treatment. withholding and withdrawing life support are equivalent. clinicians reported to be psychologically more comfortable withholding rather than withdrawing treatment as withholding is seen as passive, while withdrawing is seen as active and linked to greater feeling of moral responsibility
https://www.ncbi.nlm.nih.gov/pubmed/7921460
Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Brochard L(1), Rauss A, Benito S, Conti G, Mancebo J, Rekik N, Gasparetto A, Lemaire F. Author information: (1)Medical Intensive Care Unit, Hôpital Henri Mondor, Créteil, France.Cited by: 1302
https://www.jpsmjournal.com/article/S0885-3924(16)30051-3/fulltext
When ventilatory support is withdrawn in an intensive care unit (ICU), the place of death for most patients is the hospital. However, the majority of terminally ill patients prefer to die at home. Few articles have addressed taking adult mechanically ventilated patients home from the ICU for withdrawal of ventilatory support (WVS).Cited by: 6
https://www.crossroadshospice.com/hospice-palliative-care-blog/2013/december/13/removal-of-life-support-crossroads-ventilator-withdrawal-program/
Dec 13, 2013 · When someone you love is terminally ill and on life support, the decision to remove them from a ventilator is a difficult one. Most patients are on a ventilator because they have difficulty breathing, and families are very fearful that removing life support will cause their loved one to experience discomfort—or worse, to gasp for air. The truth is that if the ventilator withdrawal …
https://www.sciencedirect.com/science/article/pii/S0885392416300513
When ventilatory support is withdrawn in an intensive care unit (ICU), the place of death for most patients is the hospital. However, the majority of terminally ill patients prefer to die at home. Few articles have addressed taking adult mechanically ventilated patients home from the ICU for withdrawal of ventilatory support (WVS).Cited by: 6
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1124803/
Dec 07, 2002 · Although limitation of life support before death is common in most intensive care units, there are wide variations in approaches to end of life care. 5,6 w1 w5 w6 In a survey of 131 intensive care units in the United States, the proportion of deaths in which life support was withheld varied from 0% to 67% and the proportion of deaths after ...Cited by: 162
https://www.reliasmedia.com/articles/136121-ventilator-withdrawal-in-anticipation-of-death-an-intersection-of-critical-care-and-palliative-care
Sep 01, 2015 · Following initiation of mechanical ventilation for respiratory failure, most patients are successfully weaned, but some develop ventilator dependence. These patients or their families may opt for long-term ventilator support or withdrawal of the ventilator with …
https://www.crossroadshospice.com/hospice-palliative-care-blog/2013/december/13/removal-of-life-support-crossroads-ventilator-withdrawal-program/
Dec 13, 2013 · Removal of life support is a delicate decision, not to be entered into lightly. If you have a loved one or a patient needing support for an end-stage diagnosis requiring ventilator withdrawal, please contact Crossroads Hospice today.
https://www.jpsmjournal.com/article/S0885-3924(16)30051-3/fulltext
When ventilatory support is withdrawn in an intensive care unit (ICU), the place of death for most patients is the hospital. However, the majority of terminally ill patients prefer to die at home. Few articles have addressed taking adult mechanically ventilated patients home from …Cited by: 6
https://www.nejm.org/doi/full/10.1056/NEJMoa030083
The need for inotropes or vasopressors was associated with withdrawal of the ventilator (hazard ratio, 1.78; 95 percent confidence interval, 1.20 to 2.66; P=0.004), as were the physician's ...Cited by: 450
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
https://www.uptodate.com/contents/withholding-and-withdrawing-ventilatory-support-in-adults-in-the-intensive-care-unit
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https://www.nih.gov/news-events/news-releases/prolonging-withdrawal-life-support-icu-affects-family-satisfaction-care
Prolonging the Withdrawal of Life Support in the ICU Affects Family Satisfaction with Care. Clinicians in the intensive care unit (ICU) often care for patients who are on several life support measures at once. ... In addition, family satisfaction with care was higher if the patient was off the ventilator …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2913765/
Apr 02, 2010 · We examined the timing of death and predictors of time to death after terminal withdrawal of mechanical ventilation among patients who died in or shortly after a stay in the hospital ICU. Our study showed that approximately 50% of patients die within 1 hour and > 90% die within the first 24 hours after withdrawal of mechanical ventilation.Cited by: 31
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