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<a href="http://doi.org/10.1016/j.jcrc.2014.05.022" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jcrc.2014.05.022</a>
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Title
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The Durban World Congress Ethics Round Table: III. Withdrawing Mechanical ventilation-the approach should be individualized
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Journal Of Critical Care
Date
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2014
Subject
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Ethics; Life-sustaining treatments; Mechanical ventilation; Withdrawing; Withholding
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Paruk F; Kissoon N; Hartog CS; Feldman C; Hodgson ER; Lipman J; Guidet B; Du Bin; Argent A; Sprung CL
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PURPOSE: The purpose of this study is to determine the approaches used in withdrawing mechanical ventilator support. MATERIALS AND METHODS: Speakers from the invited faculty of the World Federation of Societies of Intensive and Critical Care Medicine Congress in 2013 with an interest in ethics were asked to provide a detailed description of individual approaches to the process of withdrawal of mechanical ventilation. RESULTS: Twenty-one participants originating from 13 countries, responded to the questionnaire. Four respondents indicated that they do not practice withdrawal of mechanical ventilation, and another 4 indicated that their approach is highly variable depending on the clinical scenario. Immediate withdrawal of ventilation was practiced by a large number of the respondents (7/16; 44%). A terminal wean was practiced by just more than a third of the respondents (6/16; 38%). Extubation was practiced in more than 70% of instances among most of the respondents (9/17; 53%). Two of the respondents (2/17; 12%) indicated that they would extubate all patients, whereas 14 respondents indicated that they would not extubate all their patients. The emphasis was on tailoring the approach used to suit individual case scenarios. CONCLUSIONS: Withdrawing of ventilator support is not universal. However, even when withdrawing mechanical ventilation is acceptable, the approach to achieve this end point is highly variable and individualized.
2014-06
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<a href="http://doi.org/10.1016/j.jcrc.2014.05.022" target="_blank" rel="noreferrer">10.1016/j.jcrc.2014.05.022</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2014
Argent A
Backlog
Du Bin
Ethics
Feldman C
Guidet B
Hartog CS
Hodgson ER
Journal Article
Journal of Critical Care
Kissoon N
Life-sustaining treatments
Lipman J
Mechanical Ventilation
Paruk F
Sprung CL
Withdrawing
Withholding