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. 2003 Feb;7(1):11-2.
doi: 10.1186/cc1866. Epub 2002 Dec 18.

Beyond ethical dilemmas: improving the quality of end-of-life care in the intensive care unit

Gordon D Rubenfeld  1 , J Randall Curtis
Affiliations

Beyond ethical dilemmas: improving the quality of end-of-life care in the intensive care unit

Gordon D Rubenfeld et al. Crit Care. 2003 Feb.

Abstract

Consensus guidelines on providing optimal end-of-life care in the intensive care unit (ICU) are important tools. However, despite 30 years of ethical discourse and consensus on many of the principles that guide end-of-life care in the ICU, care remains inadequate. Although consensus on the most challenging ethical aspects of some cases will remain elusive, this need not deter clinicians from engaging in practical quality improvement, best practice, and educational interventions to provide compassionate care to all critically ill patients, including those who ultimately die.

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References

    1. Hawryluck LA, Harvey WR, Lemieux-Charles L, Singer PA. Consensus guidelines on analgesia and sedation in dying intensive care unit patients. BMC Med Ethics. 2002;3:3. http://www.biomedcentral.com/1472-6939/3/3 - PMC - PubMed
    1. Campbell ML. Forgoing life-sustaining therapy: how to care for the patient who is near death Aliso Viejo, CA: American Association of Critical-Care Nurses. 1998.
    1. Curtis JR, Rubenfeld GD, Eds . Managing Death in the ICU: the Transition from Cure to Comfort. New York: Oxford University Press; 2000.
    1. Brody H, Campbell ML, Faber-Langendoen K, Ogle KS. Withdrawing intensive life-sustaining treatment: recommendations for compassionate clinical management. N Engl J Med. 1997;336:652–657. - PubMed
    1. Lo B. Resolving Ethical Dilemmas: a Guide for Clinicians. Baltimore: Williams & Wilkins; 1995.