Integración de los principios de cuidados paliativos en cuidados intensivos

  1. M. Begoña Girbau Campo
  2. Pablo Monedero Rodríguez
  3. Carlos Centeno Cortés
Revista:
Cuadernos de bioética

ISSN: 1132-1989 2386-3773

Any de publicació: 2016

Volum: 27

Número: 90

Pàgines: 175-184

Tipus: Article

Altres publicacions en: Cuadernos de bioética

Resum

Recent scientific literature has shown a growing interest to integrate palliative medicine principles into the daily workflow in the intensive care unit (ICU). This article reviews this trend with the goal that its application might provide more understanding in the resolution of some current ethical issues. Patients with an advanced disease process and at the end of life who are admitted in the intensive care unit are in such a profound level of suffering and vulnerability that only an holistic and comprehensive approach can provide adequate relief to them. Nevertheless, the reality of the clinical care of these patients in the ICU is far beyond that ideal. Our primary end point is the improvement in the clinical care provided, especially when the patient is dying. It is indeed very complex to make progress in this field, but an effort has to be made. The project is to turn to palliative medicine as a role model for end of life care and as an holistic approach, and introduce palliative medicine principles in the ICU. The goal of this article is to reveal a practical approach to accomplish this, and make it functional in order to improve our patients’ clinical and ethical care

Referències bibliogràfiques

  • Angus, DC., Barnato, AE., Linde-Zwirble, WT., Weissfeld LA., Watson, RS. et al. “Use of intensive care at the end of life in the United States: An epidemiologic study”. Critical Care Medicine 32, (2004), 638-643.
  • Aslakson, RA. Curtis, JR., Nelson, JE. “The Changing Role of Palliative Care in the ICU”. Critical Care Medicine 42, (2014), 2418-28.
  • Billings, JA., Keeley, A., Bauman, J., Cist, A. Coakley, E. et al. “Merging cultures: Palliative care specialists in the medical intensive care unit”. Critical Care Medicine 34, (2006), Suppl.388-393.
  • Bradley, CT., Brasel, KJ. “Developing guidelines that identify patients who would benefit from palliative care services in the surgical intensive care unit”. Critical Care Medicine 37, (2009), 946-950.
  • Byock, I. “Improving palliative care in intensive care units: Identifying strategies and interventions that work”. Critical Care Medicine 34, (2006), Suppl. 302-305.
  • Carlet, J., Thijs, LG., Antonelli, M., Cassell, J., Cox, P., et al. “Challenges on end-of-life care in the ICU. Statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003”. Intensive Care Medicine 30, (2004), 770-784.
  • Centeno, C., Gómez M., Nabal, M., Pascual, A. Manual de medicina paliativa, Eunsa, Pamplona, 2009, 20.
  • Center to Advance Palliative Care. “Improving Palliative Care in the ICU”. <https://www.capc.org/ipal/ipalicu/> [2/03/2015]
  • Clarke, EB., Curtis, JR., Luce JM., Levy, M., Danis, M. et al. “Quality indicators for end-of-life care in the intensive care unit”. Critical Care Medicine 31, (2003), 2255-2262.
  • Curtis, JR., Engelberg, RA. “Measuring success of interventions to improve the quality of end-of-life care in the intensive care unit”. Critical Care Medicine 34, (2006), Suppl.341-347.
  • Girbau B et al. La Integración de los Principios de Cuidados Paliativos en Cuidados Intensivos. Trabajo Fin de Máster de Bioética. Universidad de Navarra 2011.
  • Girbau, MB., Centeno, C., Monedero, P., López Guzman, J. “La Integración de los Principios de Cuidados Paliativos en Cuidados Intensivos”. Trabajo Fin de Máster de Bioética. Universidad de Navarra 2011.
  • Herranz G. “Life-sustaining interventions and terminal patients: the integration of palliative and intensive care medicine”. In: Sgreccia E, Laffitte J, eds. Alongside the Incurably Sick and Dying Person: Ethical and Practical Aspects. Proceedings of the Fourteenth Assembly of the Pontifical Academy for Life, Vatican City, 25-27 February 2008. Città del Vaticano: Libreria Editrice Vaticana; 2009. < http://tinyurl.com/ppls3md> [27/10/2015]
  • Levy, MM., McBride, DL. “End-of-life care in the intensive care unit: State of the art in 2006”. Critical Care Medicine 34, (2006), Suppl.306-308.
  • Loncán, P., Gisbert, A., Fernández C., Valentín R., Teixido, A., Vidaurreta, R. “Cuidados paliativos y medicina intensiva en la atención al final de la vida del siglo XXI”. Anales del sistema sanitario de Navarra 30, (2007), Suppl. 113-128”.
  • Mark, NM., Rayner, SG., Lee, NJ., Curtis, JR. “Global variability in withholding and withdrawal of life-sustaining treatment in the intensive care unit: a systematic review”. Intensive Care Medicine 41, (2015), 1572-1585.
  • Mitchell, M., Levy, MD., Curtis, JR. “Improving end-of-life care in the intensive care unit”. Critical Care Medicine 34, (2006), Suppl.301.
  • Monedero, P., Navia, J. “Eutanasia y limitación del esfuerzo terapéutico: Toma de decisiones y resolución de conflictos en el paciente crítico”. Revista Española de Anestesiología y Reanimación 57, (2010), 586-593.
  • Monzón Marín J.L et al. Recomendaciones de tratamiento al final de la vida del paciente crítico. Med Intensiva 2008;32(3):121-33.
  • Monzón, JL., Saralegui, I., Abizanda, R., Campos, I., Cabré, L. et al. “Recomendaciones de tratamiento al final de la vida del paciente crítico”. Medicina Intensiva 32 (2008), 121-133.
  • Mularski, RA. “Defining and measuring quality palliative and end-of-life care in the intensive care unit”. Critical Care Medicine 34, (2006), Suppl.309-316.
  • Nelson JE. “Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit”. Critical Care Medicine 34, (2006), 324-331.
  • Nelson, JE., Bassett, R., Boss, RD., Brasel, KJ., Campbell, ML. et al. “Models for structuring a clinical initiative to enhance palliative care in the intensive care unit: A report from the IPAL-ICU Project (Improving Palliative Care in the ICU)”. Critical Care Medicine 38, (2010), 1765-1772.
  • Norton, SA., Hogan, LA., Holloway, RG., Temkin-Greener, H., Buckley, MJ. et al. “Proactive palliative care in the medical intensive care unit: Effects on length of stay for selected high-risk patients”. Critical Care Medicine 35, (2007), 1530-1535.
  • O´Mahony, S., McHenry, J., Blank, AE., Snow, D., Eti Karakas, S. et al. “Preliminary report of the integration of a palliative care team into an intensive care unit”. Palliative Medicine 24, (2010), 154-165.Sprung CL et al. End-of-Life Practices in European Intensive Care Units. The Ethicus Study. JAMA, August 13, 2003-Vol 290, No 6: 790-796.
  • Robert Wood Johnson Foundation. “Promoting Excellence in End-of-Life Care”. 2009. < http://www.rwjf.org/en/search-results.html?u=promoting+excellence+in+end+of+life+care > [2/03/2015]
  • Ray, D., Fuhrman, C., Stern, G., Geracci, J., Wasser, T. et al. “Integrating palliative medicine and critical care in a community hospital”. Critical Care Medicine 34, (2006), Suppl.394-398.
  • Sprung, CL., Cohen, SL., Sjokvist, P., Baras, M., Bulow, HH, et al. “End-of-Life Practices in European Intensive Care Units. The Ethicus Study”. The Journal of the American Medical Association 13, (2003), 790-796.
  • The SUPPORT principal investigators for the SUPPORT proyect. “A controlled trial to improve care for seriously ill hospitalized patients; the Study to Understand Prognosis and Preferences for Outcome and risk of Treatment”. The Journal of the American Medical Association 274, (1995), 1591-1598.
  • Thompson, BT, Cox, PN., Antonelli, M., Carlet, JM., Cassell, J. et al. “Challenges in End-of-Life Care in the ICU: Statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003: Executive Summary”. Critical Care Medicine 32, (2004), 1781-1784.
  • Truog, RD., Campbell, ML., Curtis, JR., Haas, CE., Luce, JM. et al. “Recommendations for end-of-life care in the intensive care unit: A consensus statement by the American College of Critical Care Medicine”. Critical Care Medicine 36, (2008), 953-963.