Abstract：
PURPOSE:Decisions to withdraw life-sustaining therapy (WDLS) are relatively common in intensive care units across Canada. As part of preliminary work to develop guidelines for WDLS, we performed a narrative review of the literature to identify published studies of WDLS. MATERIALS AND METHODS:A search of MEDLINE and EMBASE databases was performed. The results were reviewed and only articles relevant to WDLS were included. Any references within these articles deemed to be relevant were subsequently included. RESULTS:The initial search identified 3687 articles. A total of 100 articles of interest were identified from the initial search and a review of their references. The articles were primarily composed of observational data and expert opinion. The information from the literature was organized into 6 themes: preparation for WDLS, monitoring parameters, pharmacologic symptom management, withdrawing life-sustaining therapies, withdrawal of mechanical ventilation, and bereavement. CONCLUSIONS:This review describes current practices and opinions about WDLS, and also demonstrates the significant practice variation that currently exists. We believe that the development of guidelines to help increase transparency and standardize the process will be an important step to ensuring high quality care during WDLS.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Delaney JW,Downar Jdoi
10.1016/j.jcrc.2016.04.006subject
Has Abstractpub_date
2016-10-01 00:00:00pages
12-8eissn
0883-9441issn
1557-8615pii
S0883-9441(16)30030-2journal_volume
35pub_type
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pub_type： 杂志文章,随机对照试验
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更新日期：2016-08-01 00:00:00
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更新日期：2015-02-01 00:00:00
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更新日期：2014-06-01 00:00:00
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更新日期：2015-02-01 00:00:00
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更新日期：2010-09-01 00:00:00
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更新日期：2017-02-01 00:00:00
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更新日期：2018-04-01 00:00:00
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更新日期：2020-10-01 00:00:00
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