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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
[When the end is near: an ICU patient who died at home]
A J Hans de Vries1, Eric H J van Wijlick, Jaap M Blom
1Universitair Medisch Centrum Groningen, Afd. Anesthesie, the Netherlands. a.j.de.vries@anest.umcg.nl
Abstract:
We describe the process of transferring a 64-year-old male from a Dutch intensive care unit to his home so that he could die there. He was a respirator-dependent cardiac surgical patient; his intensive care treatment had been withdrawn. We describe the requirements regarding the transfer of care, the role of the nursing staff and documentation of the process. We discuss the natural cause of death and subsequent administrative steps. Based on the positive reactions of the patient and his family, we propose to incorporate this process into Dutch intensive care practice guidelines.
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