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Review
. 2024 Apr 1;37(2):199-204.
doi: 10.1097/ACO.0000000000001345. Epub 2024 Jan 30.

Ethical issues in pain and palliation

Marco Cascella  1 , Alessandro Laudani  2 , Giuliana Scarpati  1   2 , Ornella Piazza  1
Affiliations
Review

Ethical issues in pain and palliation

Marco Cascella et al. Curr Opin Anaesthesiol. .

Abstract

Purpose of review: Increased public awareness of ethical issues in pain and palliative care, along with patient advocacy groups, put pressure on healthcare systems and professionals to address these concerns.Our aim is to review the ethics dilemmas concerning palliative care in ICU, artificial intelligence applications in pain therapy and palliative care, and the opioids epidemics.

Recent findings: In this focus review, we highlighted state of the art papers that were published in the last 18 months, on ethical issues in palliative care within the ICU, artificial intelligence trajectories, and how opioids epidemics has impacted pain management practices (see Visual Abstract).

Summary: Palliative care in the ICU should involve a multidisciplinary team, to mitigate patients suffering and futility. Providing spiritual support in the ICU is an important aspect of holistic patient care too.Increasingly sophisticated tools for diagnosing and treating pain, as those involving artificial intelligence, might favour disparities in access, cause informed consent problems, and surely, they need prudence and reproducibility.Pain clinicians worldwide continue to face the ethical dilemma of prescribing opioids for patients with chronic noncancer pain. Balancing the need for effective pain relief with the risk of opioid misuse, addiction, and overdose is a very controversial task.

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Conflict of interest statement

The Authors have no conflicts of interest.

Figures

Box 1
Box 1
no caption available
See this image and copyright information in PMC

References

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    2. Proactive palliative care for critically ill patients should target their families too.

    1. Pelosi P. We do need spirituality and religion in medicine and critical care: a journey to the centre of the soul. Eur J Anaesthesiol 2023; 40:619–621.

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