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European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit

2024-10-03Artigo científico Acesso aberto
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dc.contributor.authorKesecioglu, Jozef
dc.contributor.authorRusinova, Katerina
dc.contributor.authorAlampi, Daniela
dc.contributor.authorArabi, Yaseen M.
dc.contributor.authorBenbenishty, Julie
dc.contributor.authorBenoit, Dominique
dc.contributor.authorBoulanger, Carole
dc.contributor.authorCecconi, Maurizio
dc.contributor.authorCox, Christopher
dc.contributor.authorvan Dam, Marjel
dc.contributor.authorvan Dijk, Diederik
dc.contributor.authorDownar, James
dc.contributor.authorEfstathiou, Nikolas
dc.contributor.authorEndacott, Ruth
dc.contributor.authorGalazzi, Alessandro
dc.contributor.authorvan Gelder, Fiona
dc.contributor.authorGerritsen, Rik T.
dc.contributor.authorGirbes, Armand
dc.contributor.authorHawyrluck, Laura
dc.contributor.authorHerridge, Margaret
dc.contributor.authorHudec, Jan
dc.contributor.authorKentish-Barnes, Nancy
dc.contributor.authorKerckhoffs, Monika
dc.contributor.authorLatour, Jos M.
dc.contributor.authorMalaska, Jan
dc.contributor.authorMarra, Annachiara
dc.contributor.authorMeddick-Dyson, Stephanie
dc.contributor.authorMentzelopoulos, Spyridon
dc.contributor.authorMer, Mervyn
dc.contributor.authorMetaxa, Victoria
dc.contributor.authorMichalsen, Andrej
dc.contributor.authorMishra, Rajesh
dc.contributor.authorMistraletti, Giovanni
dc.contributor.authorvan Mol, Margo
dc.contributor.authorMoreno, Rui
dc.contributor.authorNelson, Judith
dc.contributor.authorSuñer, Andrea Ortiz
dc.contributor.authorPattison, Natalie
dc.contributor.authorProkopova, Tereza
dc.contributor.authorPuntillo, Kathleen
dc.contributor.authorPuxty, Kathryn
dc.contributor.authorQahtani, Samah Al
dc.contributor.authorRadbruch, Lukas
dc.contributor.authorRodriguez-Ruiz, Emilio
dc.contributor.authorSabar, Ron
dc.contributor.authorSchaller, Stefan J.
dc.contributor.authorSiddiqui, Shahla
dc.contributor.authorSprung, Charles L.
dc.contributor.authorUmbrello, Michele
dc.contributor.authorVergano, Marco
dc.contributor.authorZambon, Massimo
dc.contributor.authorZegers, Marieke
dc.contributor.authorDarmon, Michael
dc.contributor.authorAzoulay, Elie
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblSpringer
dc.date.accessioned2024-10-21T23:22:39Z
dc.date.available2024-10-21T23:22:39Z
dc.date.issued2024-10-03
dc.descriptionPublisher Copyright: © The Author(s) 2024.
dc.description.abstractThe European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented. EoL legislation and the importance of respecting the autonomy and preferences of patients were given close attention. Differences in EoL care depending on country income and healthcare provision were considered. Structured EoL decision-making strategies are recommended to improve outcomes of patients and relatives, as well as staff satisfaction and mental health. Early integration of palliative care and the use of standardized tools for symptom assessment are suggested for patients at high risk of dying. Communication training for ICU staff and printed communication aids for families are advocated to improve outcomes and satisfaction. Methods for enhancing family-centeredness of care include structured family conferences and culturally sensitive interventions. Conflict-management protocols and strategies to prevent burnout among healthcare professionals are also considered. The work done to develop these guidelines highlights many areas requiring further research.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent3662782
dc.identifier.doi10.1007/s00134-024-07579-1
dc.identifier.issn0342-4642
dc.identifier.otherPURE: 101079982
dc.identifier.otherPURE UUID: 7d3623d4-a013-492e-a4e8-124695d51022
dc.identifier.otherScopus: 85205564937
dc.identifier.otherPubMed: 39361081
dc.identifier.urihttp://hdl.handle.net/10362/173835
dc.identifier.urlhttps://www.scopus.com/pages/publications/85205564937
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCommunication
dc.subjectConflict management
dc.subjectCultural variations
dc.subjectDecision-making
dc.subjectEnd of life
dc.subjectFamily-centered care
dc.subjectGRADE
dc.subjectIntensive care unit
dc.subjectPalliative care
dc.subjectCritical Care and Intensive Care Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleEuropean Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care uniten
dc.typejournal article
degois.publication.titleIntensive Care Medicine
dspace.entity.typePublication
rcaap.rightsopenAccess

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