Selected article for: "ICU intensive care unit experience and intensive care"
Author: Ambrosino, Nicolino; Casaburi, Richard; Chetta, Alfredo; Clini, Enrico; Donner, Claudio F.; Dreher, Michael; Goldstein, Roger; Jubran, Amal; Nici, Linda; Owen, Caroline A.; Rochester, Carolyn; Tobin, Martin J.; Vagheggini, Guido; Vitacca, Michele; ZuWallack, Richard
Title: 8(th) International conference on management and rehabilitation of chronic respiratory failure: the long summaries – Part 3
  • Document date: 2015_10_6
    • ID: 08fkra10_121
    Snippet: The hospital is often the location where EOL decisions are made for patients with end-stage COPD [112] . The patient, family and health care providers are usually involved in this process; all provide different perspectives and expectations. In a recent survey Nava et al. [113] showed that, in European respiratory intermediate care units and high dependency units, an EOL decision was made in 21.5 % of patients. Withholding of treatment, do-notint.....
    Document: The hospital is often the location where EOL decisions are made for patients with end-stage COPD [112] . The patient, family and health care providers are usually involved in this process; all provide different perspectives and expectations. In a recent survey Nava et al. [113] showed that, in European respiratory intermediate care units and high dependency units, an EOL decision was made in 21.5 % of patients. Withholding of treatment, do-notintubate/do-not-resuscitate orders, and noninvasive mechanical ventilation (NMV) as the ventilatory care ceiling are the most common forms of decision-making. In the same survey, the investigators showed that competent patients, together with nurses, are often major players in EOL decisions. A common notion is that European intensive care unit (ICU) physicians, in most cases, do not experience difficulties with EOL decisions. However, Sprung et al. [114] underline that EOL decisions change according to diagnosis, countries and doctors' religion. Another important point is the well-known difficulty in accurately predicting outcomes (including death) for COPD patients admitted the ICU.

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