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Titolo:
TREATMENT OF PATIENTS WITH BASILAR OCCLUSION AND LOCKED-IN-SYNDROME -AN ETHICAL DILEMMA
Autore:
THIEL A; SCHMIDT H; PRANGE H; NAU R;
Indirizzi:
INNSBRUCK UNIV,MED KLIN MED PSYCHOL & PSYCHOTHERAPIE,SONNENBURGSTR 9 A-6020 INNSBRUCK AUSTRIA UNIV GOTTINGEN,NEUROL KLIN D-3400 GOTTINGEN GERMANY
Titolo Testata:
Nervenarzt
fascicolo: 8, volume: 68, anno: 1997,
pagine: 653 - 658
SICI:
0028-2804(1997)68:8<653:TOPWBO>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
EUTHANASIA; STATE;
Keywords:
BASILAR ARTERY THROMBOSIS; ETHICS; LOCKED-IN SYNDROME; EUTHANASIA; INTENSIVE CARE; LIFE-SUPPORT CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
A. Thiel et al., "TREATMENT OF PATIENTS WITH BASILAR OCCLUSION AND LOCKED-IN-SYNDROME -AN ETHICAL DILEMMA", Nervenarzt, 68(8), 1997, pp. 653-658

Abstract

Decisions regarding the extent of treatment of severely ill patients can be an ethical dilemma when life-prolonging intensive care contradicts the goal of avoiding unnecessary suffering on the part of the patient. Here we present the results of a written survey of physicians on neurological intensive care units in Germany regarding the treatment of patients with basilar artery thrombosis and locked-in syndrome. 52% of the 93 physicians who replied advocated not treating severe infections with antibiotics. 38% were in favor of stopping intensive care. Incontrast, 55% recommended intubating the patient in the presence of swallowing disturbances and imminent aspiration. 58% were in favor of discussing these problems in detail with the patient,and 87% advocated discussing them with relatives. Nearly all physicians (97%) recommended using adquate amounts of opiates and benzodiazepines. In very rare cases, 99% would agree to the use of passive ethanasia and 19% to active euthanasia. These findings illustrate the current disagreement on some of the important treatment decisions among physicians on neurological intensive care units. An open exchange of views on these questions could facilitate the appropriate consideration of ethical matters in the treatment of these patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 09:24:01