Abstract
If a patient receiving palliative care suffers from an acute complication of an underlying disease and death is expected within minutes to hours, acute sedation may be necessary to alleviate intolerable refractory symptoms. Current guidelines do not provide sufficient information regarding the management of acute palliative sedation. Here, we describe the cases of three patients to stress the importance of anticipation for palliative sedation in the acute setting, a stepwise treatment approach and intensive counselling. Key learning points include timely identification and counselling of patients at risk, involvement of close relatives and careful medical management of acute palliative sedation.
Translated title of the contribution | Palliative sedation in the acute setting |
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Original language | Dutch |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 163 |
Publication status | Published - 17 Dec 2018 |
Keywords
- Acute Disease/therapy
- Conscious Sedation/methods
- Humans
- Palliative Care/methods