Indian Society of Critical Care Medicine and Indian Association of Palliative Care Expert Consensus and Position Statements for End-of-life and Palliative Care in the Intensive Care Unit

被引：5

作者：

Mani, Raj K. ^{[1
]}

Bhatnagar, Sushma ^{[2
]}

Butola, Savita ^{[3
]}

Gursahani, Roop ^{[4
]}

Mehta, Dhvani ^{[5
]}

Simha, Srinagesh ^{[6
]}

Divatia, Jigeeshu, V ^{[7
]}

Kumar, Arun ^{[8
]}

Iyer, Shiva K. ^{[9
]}

Deodhar, Jayita ^{[10
]}

Bhat, Rajani S. ^{[11
]}

Salins, Naveen ^{[12
]}

Thota, Raghu S. ^{[10
]}

Mathur, Roli ^{[13
]}

Iyer, Rajam K. ^{[14
]}

Gupta, Sudeep ^{[15
]}

Kulkarni, Priyadarshini ^{[16
]}

Murugan, Sangeetha ^{[17
]}

Nasa, Prashant ^{[18
]}

Myatra, Sheila ^{[19
]}

机构：

[1] Yashoda Super Specialty Hosp, Dept Crit Care & Pulmonol, Kaushambi, Uttar Pradesh, India

[2] All India Inst Med Sci, Dept Onco Anaesthesia & Palliat Med, New Delhi, India

[3] Border Secur Force Sect Hosp, Dept Palliat Care, Panisagar, Tripura, India

[4] PD Hinduja Natl Hosp & Med Res Ctr, Dept Neurol, Mumbai 400016, Maharashtra, India

[5] Vidhi Ctr Legal Policy, Div Hlth, New Delhi, India

[6] Karunashraya, Dept Palliat Care, Bengaluru, Karnataka, India

[7] Homi Bhabha Natl Inst, Tata Mem Hosp, Dept Anaesthesia Crit Care & Pain, Mumbai, Maharashtra, India

[8] Fortis Healthcare Ltd, Dept Intens Care, Med Intens Care Unit, Mohali, Punjab, India

[9] Bharati Vidyapeeth Med Coll, Dept Crit Care, Pune, Maharashtra, India

[10] Tata Mem Hosp, Dept Palliat Care, Mumbai, Maharashtra, India

[11] SPARSH Hosp, Dept Intervent Pulmonol & Palliat Med, Bengaluru, Karnataka, India

[12] Manipal Acad Higher Educ, Dept Palliat Med & Support Care, Kasturba Med Coll, Manipal, Karnataka, India

[13] Indian Council Med Res, Dept Bioeth, Bengaluru, Karnataka, India

[14] PD Hinduja Natl Hosp & Med Res Ctr, Bhatia Hosp, Dept Palliat Care, Mumbai, Maharashtra, India

[15] Homi Bhabha Natl Inst, Tata Mem Ctr, Dept Med Oncol, Mumbai, India

[16] Palliat Care Med, Pune, Maharashtra, India

[17] Karunashraya, Dept Educ & Res, Bengaluru, Karnataka, India

[18] NMC Specialty Hosp, Dept Crit Care Med, Dubai, U Arab Emirates

[19] Homi Bhabha Natl Inst, Tata Mem Hosp, Dept Anesthesiol Crit Care & Pain, Mumbai, Maharashtra, India

来源：

INDIAN JOURNAL OF CRITICAL CARE MEDICINE | 2024年 / 28卷 / 03期

关键词：

Compassionate care in the intensive care unit; End-of-life care; withdrawal and withholding ethics; Palliative care; Terminal care; ILL HOSPITALIZED-PATIENTS; DECISION-MAKING; CANCER-PATIENTS; SUSTAINING TREATMENT; COMMUNICATION-SKILLS; ETHICS CONSULTATIONS; FAMILY CONFERENCES; SURPRISE QUESTION; ELDERLY-PATIENTS; CRITICAL ILLNESS;

D O I：

10.5005/jp-journals-10071-24661

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

End -of -life care (EOLC) exemplifies the joint mission of intensive and palliative care (PC) in their human-centeredness. The explosion of technological advances in medicine must be balanced with the culture of holistic care. Inevitably, it brings together the science and the art of medicine in their full expression. High -quality EOLC in the ICU is grounded in evidence, ethical principles, and professionalism within the framework of the Law. Expert professional statements over the last two decades in India were developed while the law was evolving. Recent landmark Supreme Court judgments have necessitated a review of the clinical pathway for EOLC outlined in the previous statements. Much empirical and interventional evidence has accumulated since the position statement in 2014. This iteration of the joint Indian Society of Critical Care Medicine-Indian Association of Palliative Care (ISCCM-IAPC) Position Statement for EOLC combines contemporary evidence, ethics, and law for decision support by the bedside in Indian ICUs.

引用

页码：200 / 250

页数：51

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