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Terminal Weaning in Critically Ill Patients


Authors: R. Pařízková;  V. Černý;  P. Dostál
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny LF UK a FN, Hradec Králové
Published in: Čas. Lék. čes. 2003; : 398-402
Category:

Overview

Background.
End of life decisions have been considered as an important part of making decisions in terminallycritically ill patients. Withdrawing mechanical ventilation (terminal weaning) represents one of the procedureslimiting life support therapy. The aim of the study was to examine the clinical experiences of limiting ventilatorysupport at tertiary care hospital ICU in Czech Republic.Methods and Results. A retrospective, descriptive study of all patients experienced terminal weaning (TW) in years1999–2001 was conducted. Diagnosis, length of ICU stay (LOS) in days before decision of TW was made, durationof TW (TW time = time from starting TW to cardiac arrest in minutes), way of TW and difference in TW timebetween selected patients subgroups were also evaluated. Selected data are presented as mean or median, t-test orMann-Whitney Rank Sum Test were used, p

Key words:
intensive care, terminally ill patients, terminal weaning.

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