European Society of Intensive Care Medicine guidelines on end
of life and palliative care in the intensive care unit

J 2024

European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit

KESECIOGLU, Jozef; Katerina RUSINOVA; Daniela ALAMPI; Yaseen M ARABI; Julie BENBENISHTY et al.

Základní údaje

Originální název

European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit

Autoři

KESECIOGLU, Jozef; Katerina RUSINOVA; Daniela ALAMPI; Yaseen M ARABI; Julie BENBENISHTY; Dominique BENOIT; Carole BOULANGER; Maurizio CECCONI; Christopher COX; van Dam MARJEL; Diederik VAN DIJK; James DOWNAR; Nikolas EFSTATHIOU; Ruth ENDACOTT; Alessandro GALAZZI; van Gelder FIONA; Rik T GERRITSEN; Armand GIRBES; Laura HAWYRLUCK; Margaret HERRIDGE; Jan HUDEC; Nancy KENTISH-BARNES; Monika KERCKHOFFS; Jos M LATOUR; Jan MALÁSKA ; Annachiara MARRA; Stephanie MEDDICK-DYSON; Spyridon MENTZELOPOULOS; Mervyn MER; Victoria METAXA; Andrej MICHALSEN; Rajesh MISHRA; Giovanni MISTRALETTI; van Mol MARGO; Rui MORENO; Judith NELSON; Andrea Ortiz SUNER; Natalie PATTISON; Tereza PROKOPOVÁ; Kathleen PUNTILLO; Kathryn PUXTY; Samah Al QAHTANI; Lukas RADBRUCH; Emilio RODRIGUEZ-RUIZ; Ron SABAR; Stefan J SCHALLER; Shahla SIDDIQUI; Charles L SPRUNG; Michele UMBRELLO; Marco VERGANO; Massimo ZAMBON; Marieke ZEGERS; Michael DARMON a Elie AZOULAY

Vydání

Intensive care medicine, New York, Springer, 2024, 0342-4642

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30221 Critical care medicine and Emergency medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 21.200

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/24:00137468

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Intensive care unit; End of life; GRADE; Cultural variations; Decision-making; Palliative care; Communication; Family-centered care; Conflict management

Štítky

14110233, 14110322, 14110528, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 4. 4. 2025 13:04, Mgr. Tereza Miškechová

Anotace

V originále

The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented. EoL legislation and the importance of respecting the autonomy and preferences of patients were given close attention. Differences in EoL care depending on country income and healthcare provision were considered. Structured EoL decision-making strategies are recommended to improve outcomes of patients and relatives, as well as staff satisfaction and mental health. Early integration of palliative care and the use of standardized tools for symptom assessment are suggested for patients at high risk of dying. Communication training for ICU staff and printed communication aids for families are advocated to improve outcomes and satisfaction. Methods for enhancing family-centeredness of care include structured family conferences and culturally sensitive interventions. Conflict-management protocols and strategies to prevent burnout among healthcare professionals are also considered. The work done to develop these guidelines highlights many areas requiring further research.

Citovat

KESECIOGLU, Jozef; Katerina RUSINOVA; Daniela ALAMPI; Yaseen M ARABI; Julie BENBENISHTY; Dominique BENOIT; Carole BOULANGER; Maurizio CECCONI; Christopher COX; van Dam MARJEL; Diederik VAN DIJK; James DOWNAR; Nikolas EFSTATHIOU; Ruth ENDACOTT; Alessandro GALAZZI; van Gelder FIONA; Rik T GERRITSEN; Armand GIRBES; Laura HAWYRLUCK; Margaret HERRIDGE; Jan HUDEC; Nancy KENTISH-BARNES; Monika KERCKHOFFS; Jos M LATOUR; Jan MALÁSKA; Annachiara MARRA; Stephanie MEDDICK-DYSON; Spyridon MENTZELOPOULOS; Mervyn MER; Victoria METAXA; Andrej MICHALSEN; Rajesh MISHRA; Giovanni MISTRALETTI; van Mol MARGO; Rui MORENO; Judith NELSON; Andrea Ortiz SUNER; Natalie PATTISON; Tereza PROKOPOVÁ; Kathleen PUNTILLO; Kathryn PUXTY; Samah Al QAHTANI; Lukas RADBRUCH; Emilio RODRIGUEZ-RUIZ; Ron SABAR; Stefan J SCHALLER; Shahla SIDDIQUI; Charles L SPRUNG; Michele UMBRELLO; Marco VERGANO; Massimo ZAMBON; Marieke ZEGERS; Michael DARMON a Elie AZOULAY. European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit. Intensive care medicine. New York: Springer, 2024, roč. 50, č. 11, s. 1740-1766. ISSN 0342-4642. Dostupné z: https://doi.org/10.1007/s00134-024-07579-1.

@article{2447493,
   author = {Kesecioglu, Jozef and Rusinova, Katerina and Alampi, Daniela and Arabi, Yaseen M and Benbenishty, Julie and Benoit, Dominique and Boulanger, Carole and Cecconi, Maurizio and Cox, Christopher and Marjel, van Dam and van Dijk, Diederik and Downar, James and Efstathiou, Nikolas and Endacott, Ruth and Galazzi, Alessandro and Fiona, van Gelder and Gerritsen, Rik T and Girbes, Armand and Hawyrluck, Laura and Herridge, Margaret and Hudec, Jan and KentishandBarnes, Nancy and Kerckhoffs, Monika and Latour, Jos M and Maláska, Jan and Marra, Annachiara and MeddickandDyson, Stephanie and Mentzelopoulos, Spyridon and Mer, Mervyn and Metaxa, Victoria and Michalsen, Andrej and Mishra, Rajesh and Mistraletti, Giovanni and Margo, van Mol and Moreno, Rui and Nelson, Judith and Suner, Andrea Ortiz and Pattison, Natalie and Prokopová, Tereza and Puntillo, Kathleen and Puxty, Kathryn and Qahtani, Samah Al and Radbruch, Lukas and RodriguezandRuiz, Emilio and Sabar, Ron and Schaller, Stefan J and Siddiqui, Shahla and Sprung, Charles L and Umbrello, Michele and Vergano, Marco and Zambon, Massimo and Zegers, Marieke and Darmon, Michael and Azoulay, Elie},
   article_location = {New York},
   article_number = {11},
   doi = {https://doi.org/10.1007/s00134-024-07579-1},
   keywords = {Intensive care unit; End of life; GRADE; Cultural variations; Decision-making; Palliative care; Communication; Family-centered care; Conflict management},
   language = {eng},
   issn = {0342-4642},
   journal = {Intensive care medicine},
   title = {European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit},
   url = {https://link.springer.com/article/10.1007/s00134-024-07579-1},
   volume = {50},
   year = {2024}
}

TY  - JOUR
ID  - 2447493
AU  - Kesecioglu, Jozef - Rusinova, Katerina - Alampi, Daniela - Arabi, Yaseen M - Benbenishty, Julie - Benoit, Dominique - Boulanger, Carole - Cecconi, Maurizio - Cox, Christopher - Marjel, van Dam - van Dijk, Diederik - Downar, James - Efstathiou, Nikolas - Endacott, Ruth - Galazzi, Alessandro - Fiona, van Gelder - Gerritsen, Rik T - Girbes, Armand - Hawyrluck, Laura - Herridge, Margaret - Hudec, Jan - Kentish-Barnes, Nancy - Kerckhoffs, Monika - Latour, Jos M - Maláska, Jan - Marra, Annachiara - Meddick-Dyson, Stephanie - Mentzelopoulos, Spyridon - Mer, Mervyn - Metaxa, Victoria - Michalsen, Andrej - Mishra, Rajesh - Mistraletti, Giovanni - Margo, van Mol - Moreno, Rui - Nelson, Judith - Suner, Andrea Ortiz - Pattison, Natalie - Prokopová, Tereza - Puntillo, Kathleen - Puxty, Kathryn - Qahtani, Samah Al - Radbruch, Lukas - Rodriguez-Ruiz, Emilio - Sabar, Ron - Schaller, Stefan J - Siddiqui, Shahla - Sprung, Charles L - Umbrello, Michele - Vergano, Marco - Zambon, Massimo - Zegers, Marieke - Darmon, Michael - Azoulay, Elie
PY  - 2024
TI  - European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit
JF  - Intensive care medicine
VL  - 50
IS  - 11
SP  - 1740-1766
EP  - 1740-1766
PB  - Springer
SN  - 03424642
KW  - Intensive care unit
KW  - End of life
KW  - GRADE
KW  - Cultural variations
KW  - Decision-making
KW  - Palliative care
KW  - Communication
KW  - Family-centered care
KW  - Conflict management
UR  - https://link.springer.com/article/10.1007/s00134-024-07579-1
N2  - The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented. EoL legislation and the importance of respecting the autonomy and preferences of patients were given close attention. Differences in EoL care depending on country income and healthcare provision were considered. Structured EoL decision-making strategies are recommended to improve outcomes of patients and relatives, as well as staff satisfaction and mental health. Early integration of palliative care and the use of standardized tools for symptom assessment are suggested for patients at high risk of dying. Communication training for ICU staff and printed communication aids for families are advocated to improve outcomes and satisfaction. Methods for enhancing family-centeredness of care include structured family conferences and culturally sensitive interventions. Conflict-management protocols and strategies to prevent burnout among healthcare professionals are also considered. The work done to develop these guidelines highlights many areas requiring further research.
ER  -

KESECIOGLU, Jozef; Katerina RUSINOVA; Daniela ALAMPI; Yaseen M ARABI; Julie BENBENISHTY; Dominique BENOIT; Carole BOULANGER; Maurizio CECCONI; Christopher COX; van Dam MARJEL; Diederik VAN DIJK; James DOWNAR; Nikolas EFSTATHIOU; Ruth ENDACOTT; Alessandro GALAZZI; van Gelder FIONA; Rik T GERRITSEN; Armand GIRBES; Laura HAWYRLUCK; Margaret HERRIDGE; Jan HUDEC; Nancy KENTISH-BARNES; Monika KERCKHOFFS; Jos M LATOUR; Jan MALÁSKA; Annachiara MARRA; Stephanie MEDDICK-DYSON; Spyridon MENTZELOPOULOS; Mervyn MER; Victoria METAXA; Andrej MICHALSEN; Rajesh MISHRA; Giovanni MISTRALETTI; van Mol MARGO; Rui MORENO; Judith NELSON; Andrea Ortiz SUNER; Natalie PATTISON; Tereza PROKOPOVÁ; Kathleen PUNTILLO; Kathryn PUXTY; Samah Al QAHTANI; Lukas RADBRUCH; Emilio RODRIGUEZ-RUIZ; Ron SABAR; Stefan J SCHALLER; Shahla SIDDIQUI; Charles L SPRUNG; Michele UMBRELLO; Marco VERGANO; Massimo ZAMBON; Marieke ZEGERS; Michael DARMON a Elie AZOULAY. European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit. \textit{Intensive care medicine}. New York: Springer, 2024, roč.~50, č.~11, s.~1740-1766. ISSN~0342-4642. Dostupné z: https://doi.org/10.1007/s00134-024-07579-1.

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