Consensus guidelines on analgesia and sedation in dying intensive care unit patients

<p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this stud...
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Autor*in:	Lemieux-Charles Louise [verfasserIn] Harvey William RC [verfasserIn] Hawryluck Laura A [verfasserIn] Singer Peter A [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2002

Schlagwörter:	Palliation Death Sedation Analgesia Double effect Terminal sedation Euthanasia Assisted suicide Consensus guidelines Intensive Care

Übergeordnetes Werk:	In: BMC Medical Ethics - BMC, 2003, 3(2002), 1, p 3
Übergeordnetes Werk:	volume:3 ; year:2002 ; number:1, p 3

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1472-6939-3-3

Katalog-ID:	DOAJ030817498

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520			\|a <p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p<
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spelling	10.1186/1472-6939-3-3 doi (DE-627)DOAJ030817498 (DE-599)DOAJ81381c65382e4467a4b90a7088598137 DE-627 ger DE-627 rakwb eng R723-726 Lemieux-Charles Louise verfasserin aut Consensus guidelines on analgesia and sedation in dying intensive care unit patients 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p< Palliation Death Sedation Analgesia Double effect Terminal sedation Euthanasia Assisted suicide Consensus guidelines Intensive Care Medical philosophy. Medical ethics Harvey William RC verfasserin aut Hawryluck Laura A verfasserin aut Singer Peter A verfasserin aut In BMC Medical Ethics BMC, 2003 3(2002), 1, p 3 (DE-627)326645403 (DE-600)2041552-7 14726939 nnns volume:3 year:2002 number:1, p 3 https://doi.org/10.1186/1472-6939-3-3 kostenfrei https://doaj.org/article/81381c65382e4467a4b90a7088598137 kostenfrei http://www.biomedcentral.com/1472-6939/3/3 kostenfrei https://doaj.org/toc/1472-6939 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2002 1, p 3
allfields_unstemmed	10.1186/1472-6939-3-3 doi (DE-627)DOAJ030817498 (DE-599)DOAJ81381c65382e4467a4b90a7088598137 DE-627 ger DE-627 rakwb eng R723-726 Lemieux-Charles Louise verfasserin aut Consensus guidelines on analgesia and sedation in dying intensive care unit patients 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p< Palliation Death Sedation Analgesia Double effect Terminal sedation Euthanasia Assisted suicide Consensus guidelines Intensive Care Medical philosophy. Medical ethics Harvey William RC verfasserin aut Hawryluck Laura A verfasserin aut Singer Peter A verfasserin aut In BMC Medical Ethics BMC, 2003 3(2002), 1, p 3 (DE-627)326645403 (DE-600)2041552-7 14726939 nnns volume:3 year:2002 number:1, p 3 https://doi.org/10.1186/1472-6939-3-3 kostenfrei https://doaj.org/article/81381c65382e4467a4b90a7088598137 kostenfrei http://www.biomedcentral.com/1472-6939/3/3 kostenfrei https://doaj.org/toc/1472-6939 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2002 1, p 3
allfieldsGer	10.1186/1472-6939-3-3 doi (DE-627)DOAJ030817498 (DE-599)DOAJ81381c65382e4467a4b90a7088598137 DE-627 ger DE-627 rakwb eng R723-726 Lemieux-Charles Louise verfasserin aut Consensus guidelines on analgesia and sedation in dying intensive care unit patients 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p< Palliation Death Sedation Analgesia Double effect Terminal sedation Euthanasia Assisted suicide Consensus guidelines Intensive Care Medical philosophy. Medical ethics Harvey William RC verfasserin aut Hawryluck Laura A verfasserin aut Singer Peter A verfasserin aut In BMC Medical Ethics BMC, 2003 3(2002), 1, p 3 (DE-627)326645403 (DE-600)2041552-7 14726939 nnns volume:3 year:2002 number:1, p 3 https://doi.org/10.1186/1472-6939-3-3 kostenfrei https://doaj.org/article/81381c65382e4467a4b90a7088598137 kostenfrei http://www.biomedcentral.com/1472-6939/3/3 kostenfrei https://doaj.org/toc/1472-6939 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2002 1, p 3
allfieldsSound	10.1186/1472-6939-3-3 doi (DE-627)DOAJ030817498 (DE-599)DOAJ81381c65382e4467a4b90a7088598137 DE-627 ger DE-627 rakwb eng R723-726 Lemieux-Charles Louise verfasserin aut Consensus guidelines on analgesia and sedation in dying intensive care unit patients 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p< Palliation Death Sedation Analgesia Double effect Terminal sedation Euthanasia Assisted suicide Consensus guidelines Intensive Care Medical philosophy. Medical ethics Harvey William RC verfasserin aut Hawryluck Laura A verfasserin aut Singer Peter A verfasserin aut In BMC Medical Ethics BMC, 2003 3(2002), 1, p 3 (DE-627)326645403 (DE-600)2041552-7 14726939 nnns volume:3 year:2002 number:1, p 3 https://doi.org/10.1186/1472-6939-3-3 kostenfrei https://doaj.org/article/81381c65382e4467a4b90a7088598137 kostenfrei http://www.biomedcentral.com/1472-6939/3/3 kostenfrei https://doaj.org/toc/1472-6939 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2002 1, p 3
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topic_facet	Palliation Death Sedation Analgesia Double effect Terminal sedation Euthanasia Assisted suicide Consensus guidelines Intensive Care Medical philosophy. Medical ethics
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container_title	BMC Medical Ethics
authorswithroles_txt_mv	Lemieux-Charles Louise @@aut@@ Harvey William RC @@aut@@ Hawryluck Laura A @@aut@@ Singer Peter A @@aut@@
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callnumber-first	R - Medicine
author	Lemieux-Charles Louise
spellingShingle	Lemieux-Charles Louise misc R723-726 misc Palliation misc Death misc Sedation misc Analgesia misc Double effect misc Terminal sedation misc Euthanasia misc Assisted suicide misc Consensus guidelines misc Intensive Care misc Medical philosophy. Medical ethics Consensus guidelines on analgesia and sedation in dying intensive care unit patients
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topic_title	R723-726 Consensus guidelines on analgesia and sedation in dying intensive care unit patients Palliation Death Sedation Analgesia Double effect Terminal sedation Euthanasia Assisted suicide Consensus guidelines Intensive Care
topic	misc R723-726 misc Palliation misc Death misc Sedation misc Analgesia misc Double effect misc Terminal sedation misc Euthanasia misc Assisted suicide misc Consensus guidelines misc Intensive Care misc Medical philosophy. Medical ethics
topic_unstemmed	misc R723-726 misc Palliation misc Death misc Sedation misc Analgesia misc Double effect misc Terminal sedation misc Euthanasia misc Assisted suicide misc Consensus guidelines misc Intensive Care misc Medical philosophy. Medical ethics
topic_browse	misc R723-726 misc Palliation misc Death misc Sedation misc Analgesia misc Double effect misc Terminal sedation misc Euthanasia misc Assisted suicide misc Consensus guidelines misc Intensive Care misc Medical philosophy. Medical ethics
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title	Consensus guidelines on analgesia and sedation in dying intensive care unit patients
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title_full	Consensus guidelines on analgesia and sedation in dying intensive care unit patients
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author_browse	Lemieux-Charles Louise Harvey William RC Hawryluck Laura A Singer Peter A
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title_sort	consensus guidelines on analgesia and sedation in dying intensive care unit patients
callnumber	R723-726
title_auth	Consensus guidelines on analgesia and sedation in dying intensive care unit patients
abstract	<p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p<
abstractGer	<p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p<
abstract_unstemmed	<p<Abstract</p< <p<Background</p< <p<Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasia.</p< <p<Methods</p< <p<Using the Delphi technique, panelists rated levels of agreement with statements describing how analgesics and sedatives should be given to dying ICU patients and how palliative care should be distinguished from euthanasia. Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p<
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title_short	Consensus guidelines on analgesia and sedation in dying intensive care unit patients
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Participants were drawn from 3 panels: 1) Canadian Academic Adult Intensive Care Fellowship program directors and Intensive Care division chiefs (N = 9); 2) Deputy chief provincial coroners (N = 5); 3) Validation panel of Intensivists attending the Canadian Critical Care Trials Group meeting (N = 12).</p< <p<Results</p< <p<After three Delphi rounds, consensus was achieved on 16 statements encompassing the role of palliative care in the intensive care unit, the management of pain and suffering, current areas of controversy, and ways of improving palliative care in the ICU.</p< <p<Conclusion</p< <p<Consensus guidelines were developed to guide the administration of analgesics and sedatives to dying ICU patients and to help distinguish palliative care from euthanasia.</p<</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Palliation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Death</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Sedation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Analgesia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Double effect</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Terminal sedation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Euthanasia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Assisted suicide</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Consensus guidelines</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Intensive Care</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medical philosophy. 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Consensus guidelines on analgesia and sedation in dying intensive care unit patients

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