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Titolo:
DISCONTINUATION OF MECHANICAL VENTILATION IN PATIENTS WITH AMYOTROPHIC-LATERAL-SCLEROSIS
Autore:
BORASIO GD; VOLTZ R;
Indirizzi:
UNIV MUNICH,KLINIKUM GROSSHADERN,DEPT NEUROL,MARCHIONINISTR 15 D-81377 MUNICH GERMANY
Titolo Testata:
Journal of neurology
fascicolo: 11, volume: 245, anno: 1998,
pagine: 717 - 722
SICI:
0340-5354(1998)245:11<717:DOMVIP>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
DECISIONS; OUTCOMES; CARE;
Keywords:
END-OF-LIFE DECISIONS; LIFE SUPPORT WITHDRAWAL; TRACHEOSTOMY; PALLIATIVE CARE; MOTOR NEURON DISEASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
G.D. Borasio e R. Voltz, "DISCONTINUATION OF MECHANICAL VENTILATION IN PATIENTS WITH AMYOTROPHIC-LATERAL-SCLEROSIS", Journal of neurology, 245(11), 1998, pp. 717-722

Abstract

Mechanical ventilation, both invasive and non-invasive, may be an effective means of improving the quality of life and prolonging the survival of patients suffering from amyotrophic lateral sclerosis (ALS). However, the attitude towards this palliative measure varies greatly between different centres and countries One of the arguments cited against this procedure is the fear that a patient might request the physician to discontinue life support. We believe that the question of withdrawal of mechanical ventilation can only be meaningfully addressed in the general context of palliative care. Here, we review possible modes of action in response to a patient's request for life support withdrawal and their medical, legal and ethical implications. We propose that the following goals should be pursued: (1) prevention of unwanted ventilation by early, open discussion with patient and relatives, (2) delivery of optimal palliative care by the caring team, (3) recognition of the patient's right to withdraw his/her consent to an invasive medicalprocedure. If these goals have been met, it may be medically, legallyand ethically justified for the physician to take all necessary stepsto ensure a peaceful death after discontinuation of life support.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 09:34:46