The Durban World Congress Ethics Round Table Conference Report: III. Withdrawing Mechanical ventilation--the approach should be individualized.
Identifieur interne : 003156 ( PubMed/Curation ); précédent : 003155; suivant : 003157The 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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pubmed:24992878Le document en format XML
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<series><title level="j">Journal of critical care</title>
<idno type="eISSN">1557-8615</idno>
<imprint><date when="2014" type="published">2014</date>
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<term>Critical Care (statistics & numerical data)</term>
<term>Humans</term>
<term>Respiration, Artificial (statistics & numerical data)</term>
<term>South Africa</term>
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<term>République d'Afrique du Sud</term>
<term>Sevrage de la ventilation mécanique ()</term>
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<term>Ventilation artificielle ()</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term>
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<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>
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<keywords scheme="MESH" xml:lang="en"><term>Congresses as Topic</term>
<term>Humans</term>
<term>Surveys and Questionnaires</term>
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<term>Congrès comme sujet</term>
<term>Enquêtes et questionnaires</term>
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<term>République d'Afrique du Sud</term>
<term>Sevrage de la ventilation mécanique</term>
<term>Soins de réanimation</term>
<term>Ventilation artificielle</term>
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<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>
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<Month>11</Month>
<Day>19</Day>
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<Issue>6</Issue>
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<Month>Dec</Month>
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<Title>Journal of critical care</Title>
<ISOAbbreviation>J Crit Care</ISOAbbreviation>
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<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>
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<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>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Paruk</LastName>
<ForeName>Fathima</ForeName>
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<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>
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<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>
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</AffiliationInfo>
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<AffiliationInfo><Affiliation>Department of Anaesthesia and Critical Care, Inkosi Albert Luthuli Central Hospital, University of KwaZulu-Natal eThekwini-Durban, KwaZulu-Natal, South Africa.</Affiliation>
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<AffiliationInfo><Affiliation>Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing, China.</Affiliation>
</AffiliationInfo>
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<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>
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<AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine (CLS), Hadassah Hebrew University Medical Center, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
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<Keyword MajorTopicYN="N">Withdrawing</Keyword>
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