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[Palliative sedation].

E H Verhagen1, G M Hesselmann, T C Besse

  • 1Integraal Kankercentrum Midden-Nederland, Postbus 19.079, 3501 DB Utrecht. ehverhag@ikmn.nl

Nederlands Tijdschrift Voor Geneeskunde
|March 18, 2005
PubMed
Summary

Palliative sedation involves lowering consciousness to relieve untreatable suffering in end-of-life care. When used correctly, this practice does not shorten a patient's life.

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Area of Science:

  • Palliative Care
  • End-of-Life Symptom Management

Context:

  • Palliative sedation is employed in 12% of deaths in the Netherlands.
  • Common indications include refractory delirium, dyspnoea, and pain.

Purpose:

  • To alleviate severe, untreatable physical or psychological suffering in patients nearing the end of life.
  • To improve patient comfort and quality of life during the final stages.

Summary:

  • Palliative sedation intentionally reduces consciousness using sedatives for intractable suffering.
  • Commonly used medications include midazolam, often via subcutaneous infusion, with alternatives like propofol or combinations if needed.
  • Intermittent administration is an option when continuous infusion is not feasible.

Impact:

  • When administered appropriately, palliative sedation does not hasten death.
  • Ensures patient dignity and comfort during the end-of-life phase.

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