Palliative Sedation at the End of Life
Improvisation?
DOI:
https://doi.org/10.14422/rib.i18.y2022.007Keywords:
palliative sedation, end of life, terminal disease, bioethicsAbstract
Palliative sedation is a widely assumed and applied clinical practice in situations that anticipate the end of life. However, despite its benefits when refractory symptoms have no other alternative, on some occasions, sedation give rise to numerous bioethical dilemmas related to the double effect principle that is one of the basic tools, in the field of Bioethics, on which the legality of sedation at the end of life can be based.
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Alipari, M. (2004). Ética al final de la vida. Aplicación a personas en estado vegetativo. Vida y Ética, 2, 269.
Beller, E. M., van Driel, M. L., McGregor, L., Truong, S. y Mitchell, G. (2015). Palliative pharmacological sedation for terminally ill adults. Cochrane Database Systematic Review, 1(1). https://doi.org/10.1002/14651858.CD010206.pub2
Broeckaert, B. (1998). Sedation in Palliative Care. Facts and Concepts. Palliative Medicine, 126-128.
Cherny, N. I. (2003). Sedation: Uses, abuses and ethics at the end of life. Jerusalem, Shaare Zedek Medical Centre.
Gómez, R. (2013). El médico frente a la muerte. Revista de la Asociación Española de Neuropsiquiatría, 32(113), 67-82. https://doi.org/10.4321/S0211-57352012000100006
Júdez, J. y Gracia, D. (2001). La deliberación moral: el método de la ética clínica. Medicina Clínica, 117(1), 18- 24. https://doi.org/10.1016/S0025-7753(01)71998-7
Hui, D. (2015). The last days of life: symptom burden and impact on nutrition and hydration in cancer patients. Current Opinion Support Palliative Care, 9(4), 346-354. https://doi.org/10.1097/SPC.0000000000000171
Kohara, H., Ueoka, H., Takeyama, H., Murakami, T. y Morita, T. (2005). Sedation for terminally ill patients with cancer with uncontrollable physical distress. Journal of Palliative Medicine, 8(1), 20-25. https://doi.org/10.1089/jpm.2005.8.20
Kittelson, S. M., Elie, M. C. y Pennypacker, L. (2015). Palliative Care Symptom Management. Critical Care Nurse, 27(3), 315-39. https://doi.org/10.1016/j.cnc.2015.05.010
Lindblad, A., Lynöe, N. y Juth, N. (2014). End-of-life decisions and the reinvented Rule of Double Effect: a critical analysis. Bioethics, 28(7), 368-77. https://doi.org/10.1111/bioe.12001
Lopez, J. (2016). Cuidados paliativos integrales y limitación del esfuerzo terapéutico. Galicia Clínica, 77(4), 173-174. https://doi.org/10.22546/38/1140
Lossignol, D. (2015). End-of-life sedation: is there an alternative? Current Opinion in Oncology. 27(4), 358-364. https://doi.org/10.1097/CCO.0000000000000192
Maltoni, N., Scarpi, E., Rosati, M., Derni, S., Fabbri, L., Martini, F., Amadori, D. y Nanni, O. (2012). Palliative sedation in end-of-life care and survival: a systematic review. Journal of Clinical Oncology, 30(12), 1378-83. https://doi.org/10.1200/JCO.2011.37.3795
Mercadante, S. et al. (2009). Controlled sedation for refractory symptoms in dying patients. Journal of Pain Symptom Management, 37(5), 771-9. https://doi.org/10.1016/j.jpainsymman.2008.04.020
Miriam, M. S. et al. (2019). The role of end-of-life palliative sedation: medical and ethical aspects - Review. Brazilian Journal of Anesthesiology, 69(1), 72-77. https://doi.org/10.1016/j.bjan.2018.03.002
Miranda, A. (2008). El principio del doble efecto y su relevancia en el razonamiento jurídico. Revista chilena de derecho, 35(3), 485-519. https://doi.org/10.4067/S0718-34372008000300005
Patel, C. Kleinig, P., Bakker, M. y Tait, P. (2019). Palliative sedation: A safety net for the relief of refractory and intolerable symptoms at the end of life. Australian Journal of General Practice, 48(12), 838-845. https://doi.org/10.31128/AJGP-05-19-4938
Porta, J. (2007). Sedación paliativa y eutanasia. Atención Primaria, 30, 47.
Shannon, F., Smith, T., Neufeld, E., Fisher, K. y Ebihara, S. (2016). The wish to die among palliative home care clients in Ontario, Canada: A cross-sectional study. BMC Palliative Care, (15), 24. https://doi.org/10.1186/s12904-016-0093-8
White, N., Reid, F., Harris, A., Harries, P. y Stone, P. (2016). A Systematic Review of Predictions of Survival in Palliative Care: How Accurate Are Clinicians and Who Are the Experts? PLOS ONE 11(8), e0161407. https://doi.org/10.1371/journal.pone.0161407
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