The Durban World Congress Ethics Round Table: III. Withdrawing Mechanical ventilation-the approach should be individualized

Title

The Durban World Congress Ethics Round Table: III. Withdrawing Mechanical ventilation-the approach should be individualized

Creator

Paruk F; Kissoon N; Hartog CS; Feldman C; Hodgson ER; Lipman J; Guidet B; Du Bin; Argent A; Sprung CL

Publisher

Journal Of Critical Care

Date

2014

Subject

Ethics; Life-sustaining treatments; Mechanical ventilation; Withdrawing; Withholding

Description

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

Rights

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

Journal Article

Citation List Month

Backlog

Citation

Paruk F; Kissoon N; Hartog CS; Feldman C; Hodgson ER; Lipman J; Guidet B; Du Bin; Argent A; Sprung CL, “The Durban World Congress Ethics Round Table: III. Withdrawing Mechanical ventilation-the approach should be individualized,” Pediatric Palliative Care Library, accessed August 5, 2021, https://pedpalascnetlibrary.omeka.net/items/show/15049.

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