[Standard Process for Palliative Sedation in Peking Union Medical College Hospital]
Jia-Wen Yu1, Hong-Ju Liu1, Xiao-Hong Ning2
1Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Summary
Palliative sedation eases unbearable suffering in end-stage patients by reducing consciousness, allowing a dignified death. This care requires thorough evaluation and multidisciplinary input for safe implementation.
Area of Science:
- Palliative Care
- Symptom Management
- Medical Ethics
Background:
- End-stage patients often suffer from refractory symptoms causing unbearable pain.
- Palliative sedation is a crucial intervention to alleviate patient agony by reducing consciousness.
- It is essential to distinguish palliative sedation from euthanasia, as it does not aim to shorten life.
Observation:
- Standardized palliative sedation requires sufficient palliative care as a prerequisite.
- Repeated and detailed clinical evaluation is necessary for its implementation.
- Multidisciplinary team involvement ensures the safe and effective application of palliative sedation.
Findings:
- This study proposes a standardized process and specifications for palliative sedation at Peking Union Medical College Hospital.
- A case report details the application of palliative sedation for an advanced cancer patient experiencing refractory delirium and severe pain.
Implications:
- Implementing standardized palliative sedation can improve the quality of life for patients with refractory symptoms.
- This approach supports patients in achieving a dignified death.
- The proposed framework offers a model for other institutions seeking to implement palliative sedation effectively.
Related Concept Videos
01:22Stages of General Anesthesia
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
01:24Parenteral Anesthetics: Overview
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...