The Durban World Congress Ethics Round Table Conference Report: III. Withdrawing Mechanical ventilation--the approach should be individualized.
Identifieur interne : 001B96 ( Ncbi/Merge ); précédent : 001B95; suivant : 001B97The Durban World Congress Ethics Round Table Conference Report: III. Withdrawing Mechanical ventilation--the approach should be individualized.
Auteurs : Fathima Paruk [Afrique du Sud] ; Niranjan Kissoon [Canada] ; Christiane S. Hartog [Allemagne] ; Charles Feldman [Afrique du Sud] ; Eric R. Hodgson [Afrique du Sud] ; Jeffrey Lipman [Australie] ; Bertrand Guidet [France] ; Bin Du [République populaire de Chine] ; Andrew Argent [Afrique du Sud] ; Charles L. Sprung [Israël]Source :
- Journal of critical care [ 1557-8615 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- MESH :
- geographic : South Africa.
- statistics & numerical data : Critical Care, Respiration, Artificial, Ventilator Weaning, Withholding Treatment.
- Congresses as Topic, Humans, Surveys and Questionnaires.
Abstract
The purpose of this study is to determine the approaches used in withdrawing mechanical ventilator support.
DOI: 10.1016/j.jcrc.2014.05.022
PubMed: 24992878
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Withdrawing Mechanical ventilation--the approach should be individualized.</title><author><name sortKey="Paruk, Fathima" sort="Paruk, Fathima" uniqKey="Paruk F" first="Fathima" last="Paruk">Fathima Paruk</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anaesthesiology and Division of Critical Care, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: Fathima.Paruk@wits.ac.za.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Anaesthesiology and Division of Critical Care, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Kissoon, Niranjan" sort="Kissoon, Niranjan" uniqKey="Kissoon N" first="Niranjan" last="Kissoon">Niranjan Kissoon</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics and Emergency Medicine, Children's Hospital and Sunny Hill Health Centre for Children, University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pediatrics and Emergency Medicine, Children's Hospital and Sunny Hill Health Centre for Children, University of British Columbia, Vancouver, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Hartog, Christiane S" sort="Hartog, Christiane S" uniqKey="Hartog C" first="Christiane S" last="Hartog">Christiane S. Hartog</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Intensive Care Medicine and Center for Sepsis Control and Care (CSH), Jena University Hospital, Jena, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Anesthesiology and Intensive Care Medicine and Center for Sepsis Control and Care (CSH), Jena University Hospital, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Feldman, Charles" sort="Feldman, Charles" uniqKey="Feldman C" first="Charles" last="Feldman">Charles Feldman</name><affiliation wicri:level="4"><nlm:affiliation>Division of Pulmonology, Department of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Division of Pulmonology, Department of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Hodgson, Eric R" sort="Hodgson, Eric R" uniqKey="Hodgson E" first="Eric R" last="Hodgson">Eric R. Hodgson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia and Critical Care, Inkosi Albert Luthuli Central Hospital, University of KwaZulu-Natal eThekwini-Durban, KwaZulu-Natal, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Anaesthesia and Critical Care, Inkosi Albert Luthuli Central Hospital, University of KwaZulu-Natal eThekwini-Durban, KwaZulu-Natal</wicri:regionArea><wicri:noRegion>KwaZulu-Natal</wicri:noRegion></affiliation></author><author><name sortKey="Lipman, Jeffrey" sort="Lipman, Jeffrey" uniqKey="Lipman J" first="Jeffrey" last="Lipman">Jeffrey Lipman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital and The University of Queensland, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital and The University of Queensland, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name><affiliation wicri:level="3"><nlm:affiliation>Service de Réanimation Médicale, Assistance Publique-Hôpitaux de Paris, Hôpital St-Antoine, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Réanimation Médicale, Assistance Publique-Hôpitaux de Paris, Hôpital St-Antoine, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Du, Bin" sort="Du, Bin" uniqKey="Du B" first="Bin" last="Du">Bin Du</name><affiliation wicri:level="3"><nlm:affiliation>Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Argent, Andrew" sort="Argent, Andrew" uniqKey="Argent A" first="Andrew" last="Argent">Andrew Argent</name><affiliation wicri:level="1"><nlm:affiliation>School of Child and Adolescent Health, University of Cape Town and Red Cross War Memorial Children's Hospital, Cape Town, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>School of Child and Adolescent Health, University of Cape Town and Red Cross War Memorial Children's Hospital, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L" last="Sprung">Charles L. Sprung</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine (CLS), Hadassah Hebrew University Medical Center, Jerusalem, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine (CLS), Hadassah Hebrew University Medical Center, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of critical care</title><idno type="eISSN">1557-8615</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Congresses as Topic</term><term>Critical Care (statistics & numerical data)</term><term>Humans</term><term>Respiration, Artificial (statistics & numerical data)</term><term>South Africa</term><term>Surveys and Questionnaires</term><term>Ventilator Weaning (statistics & numerical data)</term><term>Withholding Treatment (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Abstention thérapeutique ()</term><term>Congrès comme sujet</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>République d'Afrique du Sud</term><term>Sevrage de la ventilation mécanique ()</term><term>Soins de réanimation ()</term><term>Ventilation artificielle ()</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Critical Care</term><term>Respiration, Artificial</term><term>Ventilator Weaning</term><term>Withholding Treatment</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Congresses as Topic</term><term>Humans</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Abstention thérapeutique</term><term>Congrès comme sujet</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>République d'Afrique du Sud</term><term>Sevrage de la ventilation mécanique</term><term>Soins de réanimation</term><term>Ventilation artificielle</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study is to determine the approaches used in withdrawing mechanical ventilator support.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24992878</PMID><DateCreated><Year>2014</Year><Month>10</Month><Day>11</Day></DateCreated><DateCompleted><Year>2015</Year><Month>03</Month><Day>05</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8615</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>6</Issue><PubDate><Year>2014</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of critical care</Title><ISOAbbreviation>J Crit Care</ISOAbbreviation></Journal><ArticleTitle>The Durban World Congress Ethics Round Table Conference Report: III. Withdrawing Mechanical ventilation--the approach should be individualized.</ArticleTitle><Pagination><MedlinePgn>902-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrc.2014.05.022</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0883-9441(14)00223-8</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study is to determine the approaches used in withdrawing mechanical ventilator support.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Paruk</LastName><ForeName>Fathima</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Anaesthesiology and Division of Critical Care, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: Fathima.Paruk@wits.ac.za.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kissoon</LastName><ForeName>Niranjan</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Pediatrics and Emergency Medicine, Children's Hospital and Sunny Hill Health Centre for Children, University of British Columbia, Vancouver, British Columbia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hartog</LastName><ForeName>Christiane S</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care Medicine and Center for Sepsis Control and Care (CSH), Jena University Hospital, Jena, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Feldman</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Pulmonology, Department of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hodgson</LastName><ForeName>Eric R</ForeName><Initials>ER</Initials><AffiliationInfo><Affiliation>Department of Anaesthesia and Critical Care, Inkosi Albert Luthuli Central Hospital, University of KwaZulu-Natal eThekwini-Durban, KwaZulu-Natal, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lipman</LastName><ForeName>Jeffrey</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital and The University of Queensland, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guidet</LastName><ForeName>Bertrand</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Service de Réanimation Médicale, Assistance Publique-Hôpitaux de Paris, Hôpital St-Antoine, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Du</LastName><ForeName>Bin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Argent</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>School of Child and Adolescent Health, University of Cape Town and Red Cross War Memorial Children's Hospital, Cape Town, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sprung</LastName><ForeName>Charles L</ForeName><Initials>CL</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine (CLS), Hadassah Hebrew University Medical Center, Jerusalem, Israel.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>06</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Crit Care</MedlineTA><NlmUniqueID>8610642</NlmUniqueID><ISSNLinking>0883-9441</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003226" MajorTopicYN="N">Congresses as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013019" MajorTopicYN="N" Type="Geographic">South Africa</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015300" MajorTopicYN="N">Ventilator Weaning</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D028761" MajorTopicYN="N">Withholding Treatment</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ethics</Keyword><Keyword MajorTopicYN="N">Life-sustaining treatments</Keyword><Keyword MajorTopicYN="N">Mechanical ventilation</Keyword><Keyword MajorTopicYN="N">Withdrawing</Keyword><Keyword MajorTopicYN="N">Withholding</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>02</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>04</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>05</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>7</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24992878</ArticleId><ArticleId IdType="pii">S0883-9441(14)00223-8</ArticleId><ArticleId IdType="doi">10.1016/j.jcrc.2014.05.022</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li><li>Allemagne</li><li>Australie</li><li>Canada</li><li>France</li><li>Israël</li><li>République populaire de Chine</li></country><region><li>Gauteng</li><li>Île-de-France</li></region><settlement><li>Johannesbourg</li><li>Paris</li><li>Pékin</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Paruk, Fathima" sort="Paruk, Fathima" uniqKey="Paruk F" first="Fathima" last="Paruk">Fathima Paruk</name></region><name sortKey="Argent, Andrew" sort="Argent, Andrew" uniqKey="Argent A" first="Andrew" last="Argent">Andrew Argent</name><name sortKey="Feldman, Charles" sort="Feldman, Charles" uniqKey="Feldman C" first="Charles" last="Feldman">Charles Feldman</name><name sortKey="Hodgson, Eric R" sort="Hodgson, Eric R" uniqKey="Hodgson E" first="Eric R" last="Hodgson">Eric R. Hodgson</name></country><country name="Canada"><noRegion><name sortKey="Kissoon, Niranjan" sort="Kissoon, Niranjan" uniqKey="Kissoon N" first="Niranjan" last="Kissoon">Niranjan Kissoon</name></noRegion></country><country name="Allemagne"><noRegion><name sortKey="Hartog, Christiane S" sort="Hartog, Christiane S" uniqKey="Hartog C" first="Christiane S" last="Hartog">Christiane S. Hartog</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Lipman, Jeffrey" sort="Lipman, Jeffrey" uniqKey="Lipman J" first="Jeffrey" last="Lipman">Jeffrey Lipman</name></noRegion></country><country name="France"><region name="Île-de-France"><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name></region></country><country name="République populaire de Chine"><noRegion><name sortKey="Du, Bin" sort="Du, Bin" uniqKey="Du B" first="Bin" last="Du">Bin Du</name></noRegion></country><country name="Israël"><noRegion><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L" last="Sprung">Charles L. Sprung</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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