Sofortige Extubation oder terminales Weaning bei beatmeten Intensivpatienten nach Therapiezieländerung

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Immediate extubation or terminal weaning in ventilated intensive care patients after therapeutic goal change



U. Janssens gibt an, dass kein Interessenkonflikt besteht.


  1. 1.
    Angus DC, Barnato AE, Linde-Zwirble WT et al (2004) Use of intensive care at the end of life in the United States: an epidemiologic study. Crit Care Med 32:638–643CrossRefPubMedGoogle Scholar
  2. 2.
    Billings JA (2012) Humane terminal extubation reconsidered: the role for preemptive analgesia and sedation. Crit Care Med 40:625–630CrossRefPubMedGoogle Scholar
  3. 3.
    Campbell M (2007) How to withdraw mechanical ventilation: a systematic review of the literature. AACN Adv Crit Care 18:397–403PubMedGoogle Scholar
  4. 4.
    Gerstel E, Engelberg RA, Koepsell T et al (2008) Duration of withdrawal of life support in the intensive care unit and association with family satisfaction. Am J Respir Crit Care Med 178:798–804CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Hall JC, Jobson L, Langdon PE (2014) Measuring symptoms of post-traumatic stress disorder in people with intellectual disabilities: the development and psychometric properties of the Impact of Event Scale-Intellectual Disabilities (IES-IDs). Br J Clin Psychol 53:315–332CrossRefPubMedGoogle Scholar
  6. 6.
    Janssens U (2004) Dialektik der Intensivmedizin – kurativ und palliativ. Intensivmed 41:1–5CrossRefGoogle Scholar
  7. 7.
    Janssens U, Karg O (2012) Sterben am/trotz Beatmungsgerät. DIVI 3:145–155Google Scholar
  8. 8.
    Janssens U, Burchardi N, Duttge G et al (2012) Therapiezieländerung und Therapiebegrenzung in der Intensivmedizin. DIVI 3:103–107Google Scholar
  9. 9.
    Karasek R, Baker D, Marxer F et al (1981) Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health 71:694–705CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Kentish-Barnes N, Lemiale V, Chaize M et al (2009) Assessing burden in families of critical care patients. Crit Care Med 37:S448–S456CrossRefPubMedGoogle Scholar
  11. 11.
    Kentish-Barnes N, Chaize M, Seegers V et al (2015) Complicated grief after death of a relative in the intensive care unit. Eur Respir J 45:1341–1352CrossRefPubMedGoogle Scholar
  12. 12.
    Kompanje EJ, Van Der Hoven B, Bakker J (2008) Anticipation of distress after discontinuation of mechanical ventilation in the ICU at the end of life. Intensive Care Med 34:1593–1599CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Müller-Busch HC, Radbruch L, Strasser F et al (2006) Empfehlungen zur palliativen Sedierung. Dtsch Med Wochenschr 131:2733–2736CrossRefPubMedGoogle Scholar
  14. 14.
    Paruk F, Kissoon N, Hartog CS et al (2014) The Durban world congress ethics round table conference report: III. withdrawing mechanical ventilation – the approach should be individualized. J Crit Care 29:902–907CrossRefPubMedGoogle Scholar
  15. 15.
    Payen JF, Bru O, Bosson JL et al (2001) Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med 29:2258–2263CrossRefPubMedGoogle Scholar
  16. 16.
    Pochard F, Azoulay E, Chevret S et al (2001) Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit Care Med 29:1893–1897CrossRefPubMedGoogle Scholar
  17. 17.
    Robert R, Le Gouge A, Kentish-Barnes N et al (2017) Terminal weaning or immediate extubation for withdrawing mechanical ventilation in critically ill patients (the ARREVE observational study). Intensive Care Med. Google Scholar
  18. 18.
    Sold M, Schmidt KW (2012) Therapiebegrenzung und Therapiereduktion – praktisch umgesetzt. In: Salomon F (Hrsg) Praxisbuch Ethik in der Intensivmedizin. Medizinisch Wissenschaftliche Verlagsgesellschaft, Berlin, S 247–281Google Scholar
  19. 19.
    Sprung CL, Cohen SL, Sjokvist P et al (2003) End-of-life practices in European intensive care units: the Ethicus Study. JAMA 290:790–797CrossRefPubMedGoogle Scholar
  20. 20.
    Truog RD, Campbell ML, Curtis JR et al (2008) Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine. Crit Care Med 36:953–963CrossRefPubMedGoogle Scholar
  21. 21.
    Truog RD, Brock DW, White DB (2012) Should patients receive general anesthesia prior to extubation at the end of life? Crit Care Med 40:631–633CrossRefPubMedGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2017

Authors and Affiliations

  1. 1.Klinik für Innere MedizinSt.-Antonius-HospitalEschweilerDeutschland

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