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Related Experiment Videos

Drugs used for euthanasia in Flanders, Belgium.

R H Vander Stichele1, J J R Bilsen, J L Bernheim

  • 1Heymans Institute of Pharmacology, Ghent University, Ghent, Belgium. robert.vanderstichele@rug.ac.be

Pharmacoepidemiology and Drug Safety
|March 5, 2004
PubMed
Summary

Physicians in Belgium used varied medications for euthanasia, often ineffective doses of morphine, highlighting a need for better training in end-of-life care and medication protocols.

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Area of Science:

  • Medical Ethics
  • Pharmacology
  • Public Health

Background:

  • Euthanasia was legally forbidden in Belgium until recently, with no established guidelines.
  • Physicians' practices regarding euthanasia medication were largely undocumented.

Purpose of the Study:

  • To describe and assess medicinal products and doses used for euthanasia.
  • To identify patterns in drug selection and dosage in Belgian euthanasia cases.

Main Methods:

  • An anonymous mail questionnaire was sent to physicians who signed death certificates in Belgium in 1998.
  • A multi-disciplinary panel reviewed questionnaires classified as euthanasia cases.

Main Results:

  • Twenty-two of 1925 questionnaires indicated voluntary euthanasia.
Keywords:
Death and EuthanasiaEmpirical Approach

Related Experiment Videos

  • Opioids were used in 13 cases, but only 4 were deemed effective by the panel.
  • Euthanasia drugs were administered in doses unlikely to be lethal.
  • Conclusions:

    • Pharmacological practices for euthanasia in Belgium were disparate and often ineffective.
    • Physicians appeared unaware of procedures for a quick, mild, and certain death.
    • Medical education should include pharmacological aspects of euthanasia, especially where legally permitted.