Abstract:
BACKGROUND:When patients are incompetent, advance directives (AD) can help physicians take crucial medical decisions. However, prevalence remains low. The objective was to investigate physicians' perspectives and attitudes towards AD in order to determine potential targets for improvement. METHODS:Observational study by self-administered questionnaires to general practitioners and specialists potentially involved in the care of patients scheduled for major cardiovascular surgery in a Swiss canton. RESULTS:One-hundred and sixty-four 164 (40%) questionnaires were completed. Men: 116 (71%). Specialties: Internists: 73 (45%); General Practitioners: 50 (31%); Intensivists: 22 (13%); Cardiologists: 18 (12%). Eighty-five percent (138/162) physicians thought that AD were useful and 124/161 (77%) were ready to help patients write AD (to allow them to decide on their fate [115/124 {93%}] and to increase their ease in expressing their wishes [108/124 {87%}]). Men and cardiologists were least likely to do so. Factors associated with lower interest in promoting AD were not logistical but personal such as "the topic can induce fear (21/34 [62%]) or unease (16/34 [47%]), and lack of knowhow (15/34 [44])". 22/160 (14%) physicians had never heard about AD, especially men. CONCLUSION:Not all physicians knew the concept of AD. The majority thought that AD were useful and would help patients write them, in order to respect their autonomy. Personal-related factors such as feelings of inducing fear or harm patients were more important than logistic factors in impeding the promotion of AD. Emphasizing AD during medical school might present a potential target to increase AD prevalence, particularly in the preoperative setting.
journal_name
Minerva Anestesioljournal_title
Minerva anestesiologicaauthors
Gigon F,Merlani P,Ricou Bsubject
Has Abstractpub_date
2015-10-01 00:00:00pages
1061-75issue
10eissn
0375-9393issn
1827-1596pii
R02Y9999N00A150033journal_volume
81pub_type
杂志文章abstract:BACKGROUND:Pneumonia is the primary source of sepsis and is significantly associated with mortality. However, only a few studies focus on its clinical characteristics and outcomes. METHODS:We evaluated 500 intensive care unit patients who met severe sepsis or septic shock criteria, dividing them into two distinct grou...
journal_title:Minerva anestesiologica
pub_type: 杂志文章,多中心研究
doi:
更新日期:2013-12-01 00:00:00
abstract::The detection of tissue hypoxia and its correction is one of the aim of the hemodynamic monitoring. Classical hemodynamic variable often fail to achieve this goal. Lactate measurements may be a good indicator of tissue hypoxia. Selected review of the articles on lactate in critically ill patients. Tissue hypoxia is as...
journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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abstract::Systemic air embolisms are a rare but often a fatal complication of endoscopic retrograde cholangiopancreatography (ERCP). Only few cases have been reported in scientific studies. This paper concerns a case of a systemic air embolism that occurred during endoscopic sphincterotomy for gallstone removal in a 79-year-old...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::Inhalation agents represent a basic drug used in modern balanced anesthesia. In the present review, the pharmacokinetics, effectiveness and clinical effects of inhalation agents on different systems are discussed. Data concerning the metabolism and related toxicity of halogenated agents is reviewed, with particular re...
journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract:BACKGROUND:The aim of the study was to investigate whether or not sevoflurane at different concentrations influenced the ED(effective dose) 50, 90 and 95 of cisatracurium and whether there is any relationship with age. METHODS:Individual dose response curves for cisatracurium were constructed in 80 consecutive patient...
journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2000-03-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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更新日期:2006-06-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Evidences supporting the use of ICP monitoring after aneurysmal subarachnoid hemorrhage (aSAH) are limited. The aim of our paper is to examine whether elevated intracranial pressure (ICP) and ICP-derived variables predict mortality and functional outcomes after aSAH. METHODS:A systematic review of the liter...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:2016-04-05 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1981-05-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:2009-10-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
更新日期:2001-04-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
更新日期:1992-06-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 传,历史文章,杂志文章
doi:
更新日期:2005-09-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
更新日期:1989-05-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
更新日期:2003-05-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:2007-11-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
更新日期:2014-08-01 00:00:00
abstract:: ...
journal_title:Minerva anestesiologica
pub_type: 评论,信件
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更新日期:2019-10-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.23736/S0375-9393.19.13820-5
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
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