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A favorable course of palliative sedation: searching for indicators using caregivers' perspectives
Tijn Brinkkemper1, Judith A C Rietjens2, Luc Deliens3
1Department of Anaesthesiology, VU University Medical Center Amsterdam, Amsterdam, the Netherlands EMGO Institute for Health and Care Research (EMGO+), VU University Medical Center Amsterdam, Amsterdam, the Netherlands.
Objective:
Comparing characteristics of a favorable sedation course during palliative sedation to a less favorable course based on the reports Dutch physicians and nurses.
Results:
Cases identified as having a favorable sedation course less often concerned a male patient (P = .019 nurses' cases), reached the intended sedation depth significantly quicker (P < .05 both nurses and physicians' cases), reached a deeper level of sedation (P = .015 physicians' cases), and had a shorter total duration of sedation compared (P < .001 physicians' cases) to patients with a less favorable sedation course.
Conclusions:
A favorable course during palliative sedation seems more probable when health care professionals report on a (relatively) shorter time to reach the required depth of sedation and when a deeper level of sedation can be obtained.
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