Authors: R. Pařízková; V. Černý; P. Dostál; R. Jahodářová 1 Authors‘ workplace: Klinika anesteziologie a resuscitace, Fakultní nemocnice, Hradec Králové, přednosta MUDr. Vladimír Černý, Ph. D., FCCM 1 Právní oddělení, Fakultní nemocnice U sv. Anny, Brno Published in: Anest. intenziv. Med., , 2001, č. 2, s. 69-72 Category:
Weaning from ventilatory support in critically ill patients in terminal stage of organ dysfunction represents one part of the process of withdrawingorgan support techniques. The principal aim of weaning of mechanical ventilatory support is not enhancing the process of dying, but withdrawing thatpart of therapy that in medically futile situations when stress, pain, dyscomfort and suffering associated with prolonged ventilatory support are notoutweighed by benefit with respect to the outcome in unfavourable prognosis in critically ill patient with irreversibly damaged integrity of organfunctions. The process of weaning from mechanical ventilation is performed step-by-step, decreasing ventilation parameters; the less frequent techniqueis terminal extubation. Provided all necessary conditions and prerequisities are fulfilled; terminal weaning is both ethically and medically acceptedmanagement which is in accordance with current legislation and could not be denominated as euthanasia
Key words: terminal illness – weaning from ventilatory support – ethical principles – legislation
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