Prediction of death in less than 60 minutes following withdrawal of cardiorespiratory support in ICUs

Prediction of death in less than 60 minutes following withdrawal of cardiorespiratory support in ICUs. Critical care medicine, Dec 2013, Vol. 41(12), p.2677-87.

Brieva, J., et al.

http://journals.lww.com/ccmjournal/Abstract/2013/12000/Prediction_of_Death_in_Less_Than_60_Minutes.2.aspx

Half of all ICU patients die within 60 minutes of withdrawal of cardiorespiratory support. Prediction of which patients die before and after 60 minutes would allow changes in service organization to improve patient palliation, family grieving, and allocation of ICU beds. This study tested various predictors of death within 60 minutes and explored which clinical variables ICU specialists used to make their prediction.

End of life decisions:Nurses' perceptions, feelings and experiences

End of life decisions: Nurses' perceptions, feelings and experiences. Intensive and critical care nursing, 2008, Vol 24(4), p. 251-59

McMillen, R.E.

http://www.intensivecriticalcarenursing.com/article/S0964-3397(07)00119-X/abstract

Decisions to withdraw treatment are made on a regular basis in intensive care units. While nurses play a central role in patient care, previous studies have found that they are not always involved in withdrawal decisions.

Terminal Withdrawal of Mechanical Ventilation at a Long-Term Acute Care Hospital

Terminal Withdrawal of Mechanical Ventilation at a Long-Term Acute Care Hospital: Comparison with a medical ICU. Chest, vol. 136(2), Aug 2009, p.465-470.

White, A.C., et al.

http://www.chestjournal.org/content/136/2/465.full.pdf+html

Long-term acute care hospitals provide care for patients who require prolonged mechanical ventilation (MV) for respiratory failure. A multicenter study found weaning to be unsuccessful in 20% of patients receiving prolonged MV despite a multidisciplinary approach to care. The decision to terminally withdraw MV from critically ill patients in whom MV is no longer considered beneficial is common in ICUs in the United States and in Europe. Updated practice guidelines are available to inform practitioners in the terminal withdrawal of MV in the ICU.

Withdrawal of mechanical ventilation in anticipation of death in the intensive care unit. New England Journal of Medicine, vol. 349(12), Sept. 2003. [journal article]

Cook, D., et al.

http://content.nejm.org/cgi/reprint/349/12/1123.pdf

In critically ill patients who are receiving mechanical ventilation, the factors associated with physicians’ decisions to withdraw ventilation in anticipation of death are unclear. The objective of this study was to examine the clinical determinants that were associated with the withdrawal of mechanical ventilation.

Duration of Withdrawal of Life Support in the Intensive Care Unit and Association with Family Satisfaction

Gerstel , E . ; Engelberg , R . A . ; Koepsell , T . ; Curtis , J . R .
Free Medical Journals . com (/1997 - / Embargo: 1 year)
Proquest NHS Full Text (02/2003 - /)
Page: 798-804 Vol/Issue: 2008 ; VOL 178 ; PART 8
ISSN Print: 1073-449X E-ISSN: 1535-4970
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