Withholding and withdrawing life prolonging treatment in the intensive care unit: a current European perspective.

Abstract:

BACKGROUND:Many deaths are now preceded by an end of life decision, particularly in the intensive care unit (ICU), but such practices vary considerably between countries, ICUs and individuals, depending on many factors including cultural and religious background, family and peer pressure and local practice. AIMS:In this review, we will discuss the application of the four key ethical principles--beneficence, nonmaleficence, autonomy and distributive justice--to withdrawing/withholding decisions. METHODS:Drawing data from several national and international studies, we then summarize the current situation across Europe regarding such practices before making some suggestions as to how we could facilitate the often difficult decision making process by improved communication between staff, patient and relatives.

journal_name

Chron Respir Dis

authors

Vincent JL,Berré J,Creteur J

doi

10.1191/1479972304cd021rs

keywords:

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

115-20

issue

2

eissn

1479-9723

issn

1479-9731

journal_volume

1

pub_type

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