Folgt der Ablauf von Therapiebegrenzungen auf einer Intensivstation einem Muster?

Barbara Meyer-Zehnder1, Hans Pargger2, Stella Reiter-Theil3
1Operative Intensivbehandlung, Departement Anästhesie, Institut für Angewandte Ethik und Medizinethik, Universitätsspital Basel, Basel, Switzerland
2Operative Intensivbehandlung, Departement Anästhesie, Universitätsspital Basel, Basel, Switzerland
3Institut für Angewandte Ethik und Medizinethik, Universität Basel, Basel, Switzerland

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Manara AR, Pittman JA, Braddon FE (1998) Reasons for withdrawing treatment in patients receiving intensive care. Anaesthesia 53:523–528

Wunsch H, Harrison DA, Harvey S, Rowan K (2005) End-of-life decisions: a cohort study of the withdrawal of all active treatment in intensive care units in the United Kingdom. Intensive Care Med 31:823–831

Hall RI, Rocker GM (2000) End-oflife care in the ICU: treatments provided when life support was or was not withdrawn. Chest 118:1424–1430

Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S, Ledoux D, Lippert A, Maia P, Phelan D, Schobersberger W, Wennberg E, Woodcock T (2003) End-of-life practices in European intensive care units: the Ethicus Study. Jama 290:790–797

Gajewska K, Schroeder M, De Marre F, Vincent JL (2004) Analysis of terminal events in 109 successive deaths in a Belgian intensive care unit. Intensive Care Med 30:1224–1227

Esteban A, Gordo F, Solsona JF, Alia I, Caballero J, Bouza C, Alcala-Zamora J, Cook DJ, Sanchez JM, Abizanda R, Miro G, Fernandez Del Cabo MJ, de Miguel E, Santos JA, Balerdi B (2001) Withdrawing and withholding life support in the intensive care unit: a Spanish prospective multi- centre observational study. Intensive Care Med 27:1744–1749

Wood GG, Martin E (1995) Withholding and withdrawing life-sustaining therapy in a Canadian intensive care unit. Can J Anaesth 42:186–191

Keenan SP, Busche KD, Chen LM, Esmail R, Inman KJ, Sibbald WJ (1998) Withdrawal and withholding of life support in the intensive care unit: a comparison of teaching and community hospitals. The Southwestern Ontario Critical Care Research Network. Crit Care Med 26:245–251

Keenan SP, Busche KD, Chen LM, McCarthy L, Inman KJ, Sibbald WJ (1997) A retrospective review of a large cohort of patients undergoing the process of withholding or withdrawal of life support. Crit Care Med 25:1324–1331

Jakobson DJ, Eidelman LA, Worner TM, Oppenheim AE, Pizov R, Sprung CL (2004) Evaluation of changes in forgoing life-sustaining treatment in Israeli ICU patients. Chest 126:1969–1973

Eidelman LA, Jakobson DJ, Pizov R, Geber D, Leibovitz L, Sprung CL (1998) Foregoing life-sustaining treatment in an Israeli ICU. Intensive Care Med 24:162–166

Eidelman LA, Jakobson DJ, Worner TM, Pizov R, Geber D, Sprung CL (2003) End-of-life intensive care unit decisions, communication, and documentation: an evaluation of physician training. J Crit Care 18:11–16

Ferrand E, Robert R, Ingrand P, Lemaire F (2001) Withholding and withdrawal of life support in intensive- care units in France: a prospective survey. French LATAREA Group. Lancet 357:9–14

Faber-Langendoen K, Lanken PN (2000) Dying patients in the intensive care unit: forgoing treatment, maintaining care. Ann Intern Med 133:886–893

Nolin T, Andersson R (2003) Withdrawal of medical treatment in the ICU. A cohort study of 318 cases during 1994-2000. Acta Anaesthesiol Scand 47:501–507

Bosshard G, Nilstun T, Bilsen J, Norup M, Miccinesi G, van Delden JJ, Faisst K, van der Heide A (2005) Forgoing treatment at the end of life in 6 European countries. Arch Intern Med 165:401–407

van der Heide A, Deliens L, Faisst K, Nilstun T, Norup M, Paci E, van der Wal G, van der Maas PJ (2003) End-of-life decision-making in six European countries: descriptive study. Lancet 362:345–350

Deliens L, Mortier F, Bilsen J, Cosyns M, Vander Stichele R, Vanoverloop J, Ingels K (2000) End-of-life decisions in medical practice in Flanders, Belgium: a nationwide survey. Lancet 356:1806–1811

Groenewoud JH, van der Heide A, Kester JG, de Graaff CL, van der Wal G, van der Maas PJ (2000) A nationwide study of decisions to forego lifeprolonging treatment in Dutch medical practice. Arch Intern Med 160:357–363

Le Conte P, Baron D, Trewick D, Touze MD, Longo C, Vial I, Yatim D, Potel G (2004) Withholding and withdrawing life-support therapy in an Emergency Department: prospective survey. Intensive Care Med 30:2216–2221

Lindner K (2005) Ethik in der Notfallmedizin – Eine Interviewstudie zu ethischen Fragen der Entscheidungsfindung bei der Reanimation im Rettungsdienst. Dissertation an der Medizinischen Fakultät der Universität Basel

Yazigi A, Riachi M, Dabbar G (2005) Withholding and withdrawal of lifesustaining treatment in a Lebanese intensive care unit: a prospective observational study. Intensive Care Med 31:562–567

Asch DA, Faber-Langendoen K, Shea JA, Christakis NA (1999) The sequence of withdrawing life-sustaining treatment from patients. Am J Med 107:153–156

Faber-Langendoen K, Bartels DM (1992) Process of forgoing life-sustaining treatment in a university hospital: an empirical study. Crit Care Med 20:570–577

Faber-Langendoen K (1996) A multiinstitutional study of care given to patients dying in hospitals. Ethical and practice implications. Arch Intern Med 156:2130–2136

Asch DA, Christakis NA (1996) Why do physicians prefer to withdraw some forms of life support over others? Intrinsic attributes of life-sustaining treatments are associated with physicians‘ preferences. Med Care 34:103–111

Christakis NA, Asch DA (1993) Biases in how physicians choose to withdraw life support. Lancet 342:642–646

Christakis NA, Asch DA (1995) Medical specialists prefer to withdraw familiar technologies when discontinuing life support. J Gen Intern Med 10:491–494

Hentschel R, Lindner K, Reiter-Theil S (2006) Restriction of ongoing intensive care in neonates: A prospective study. Pediatrics 118:563–569

Reiter-Theil S (2004) Does empirical research make bioethics more relevant? „The embedded researcher“ as a methodological approach. Med Health Care Philos 7:17–29

Bühler E, Reiter-Theil S (2004) Überleben – ein ethisch ambivalentes Therapieergebnis? Epikrise mit prospektiven und retrospektiven Überlegungen zu einem Therapieabbruch bei irrtümlich erwartetem Hirntod mit Aussicht auf Organentnahme. In: Sass H, May A (Hrsg) Behandlungsgebot oder Behandlungsverzicht: Grenzfragen ärztlicher Entscheidungskonflikte. LIT, Münster, S 15–31

Mayring P (2000) Qualitative Inhaltsanalyse. Grundlagen und Techniken. Beltz, Deutscher Studienverlag, Weinheim

Bundesärztekammer (2004) Grundsätze der Bundesärztekammer zur ärztlichen Sterbebegleitung. Deutsches Ärzteblatt 101:A1298–1299

Bartels S, Parker M, Hope T, Reiter- Theil S (2005) Wie hilfreich sind „ethische Richtlinien“ am Einzelfall. Eine vergleichende kasuistische Analyse der Deutschen Grundsätze, Britischen Guidelines und Schweizerischen Richtlinien zur Sterbebegleitung. Ethik Med 17:191–205

Schweizerische Akademie der Medizinischen Wissenschaften SAMW (2005) Betreuung von Patienten am Lebensende. Schweiz Ärztezeitung 86:172–174

Christakis NA, Asch DA (1995) Physician characteristics associated with decisions to withdraw life support. Am J Public Health 85:367–372

Giannini A, Pessina A, Tacchi EM (2003) End-of-life decisions in intensive care units: attitudes of physicians in an Italian urban setting. Intensive Care Med 29:1902–1910

Rabinstein AA, McClelland RL, Wijdicks EF, Manno EM, Atkinson JL (2004) Cardiopulmonary resuscitation in critically ill neurologic-neurosurgical patients. Mayo Clin Proc 79:1391–1395