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La sédation en fin de vie en réanimation

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Analgésie et sédation en réanimation

Part of the book series: Le point sur ... ((POINT))

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La loi du 22 avril 2005, dite loi Leonetti et les textes de recommandations récents ont transformé en France l’approche du processus décisionnel de fin de vie en réanimation (2, 7). L’institution d’une sédation ou son renforcement dans ce contexte ne trouve néanmoins son sens que dans une approche rigoureuse du processus d’amont de réflexion et de décision de limitation ou d’arrêdes traitements. Ce sont la compréhension et l’intégration des différentes composantes de la procédure de réflexion qui permettent et facilitent la compréhension et la diffusion des pratiques de sédation en fin de vie.

Dans ce cadre, la sédation s’impose aujourd’hui sans réserve comme une obligation morale, déontologique et légale afin d’assurer le confort de fin de vie indispensable en cas de retrait des supports artificiels d’organes vitaux.

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Références

  1. Thruog RD, Campbell ML, Curtis JR et al. (2008) Recommendations for end-of-life care in the intensive care unit: A consensus statement by the American Academy of Critical Care Medicine. Crit Care Med 36: 953–63

    Article  Google Scholar 

  2. Recommandations des experts de la Société de réanimation en langue française (2002) Les limitations et arrêts de thérapeutique(s) active(s) en réanimation adulte. Réanimation 11: 442–9

    Google Scholar 

  3. Clarke EB, Curtis JR, Luce JM (2003) Robert Wood Johnson Foundation Critical Care End-Of-Life Peer Workgroup Members. Quality indicators for end-of-life care in intensive care unit. Crit Care Med 31(9): 2255–62

    Article  PubMed  Google Scholar 

  4. Quill TE, Lo B, Brock DW, Meisel A (2009) Last-Resort Options for Palliative Sedation. Ann Intern Med 151: 421–4

    PubMed  Google Scholar 

  5. Lanken NK, Terry PB, DeLisser HM et al. (2008) On behalf of the ATS End-of-Life Care Task Force. An Ofcial American Thoracic Society Clinical Policy Statement: Palliative Care for Patients with Respiratory Diseases and Critical Illnesses. Am J Respir Crit Care Med Vol 177: 912–27

    Article  Google Scholar 

  6. Société française d’accompagnement et de soins palliatifs. Recommandations actualisées de la Société française d’accompagnement et de soins palliatifs. (http://www.sfap.org/pdf/)

  7. Loi du 22 avril 2005, n° 2005-370 relative aux droits des malades et à la fn de vie. Journal officiel de la république française du 23 avril 2005

    Google Scholar 

  8. Ferrand E, Robert R, Ingrand P, Lemaire F (2001) Withholding and withdrawal of life support in intensive-care units in France: a prospective survey. French LATAREA Group. Lancet 357(9249): 9–14

    CAS  Google Scholar 

  9. Ferrand E, Jabre P, Vincent-Genod C et al. (2008) For the French MAHO Group. Circumstances of Death in Hospitalized Patients and Nurses’ Perception. French Multicenter MAHO Survey. Arch Intern Med 168 (8): 867–75

    Article  PubMed  Google Scholar 

  10. Ferrand E, Jabre P, Reignier J et al. (2009) Evolution of the Decision-Making Process for Limiting Life-Sustaining Treatments in ICUs in France: The LATAREA 2 Survey

    Google Scholar 

  11. Goodlin SJ, Winzelberg GS, Teno JM et al. (1998) Death in the hospital. Arch Intern Med 158(14): 1570–2

    Article  CAS  PubMed  Google Scholar 

  12. Bailey FA, Burgio KL, Woodby LL et al. (2005) Improving processes of hospital care during the last hours of life. Arch Intern Med 165(15): 1722–7

    Article  PubMed  Google Scholar 

  13. Teno JM, Clarridge BR, Casey V et al. (2004) Family perspectives on end-of-life care at the last place of care. Jama 291(1): 88–93

    Article  CAS  PubMed  Google Scholar 

  14. Kompanje EJ (2005) “The death rattle” in the intensive care unit after withdrawal of mechanical ventilation in neurological patients. Neurocrit Care 3(2): 107–10

    Article  PubMed  Google Scholar 

  15. Erkut ZA, Klooker T, Endert E et al. (2004) Stress of dying is not suppressed by high-dose morphine or by dementia. Neuropsychopharmacology 29(1): 152–7

    Article  CAS  PubMed  Google Scholar 

  16. Campbell ML, Bizek KS, Till M (1999) Patient responses during rapid terminal weaning from mechanical ventilation: a prospective study. Crit Care Med 27(1): 73–7

    Article  CAS  PubMed  Google Scholar 

  17. Keenan SP, Busche KD, Chen LM et al. (1997) A retrospective review of a large cohort of patients undergoing the process of withholding or withdrawal of life support. Crit Care Med 25(8): 1324–31

    Article  CAS  PubMed  Google Scholar 

  18. Wilson WC, Smedira NG, Fink C et al. (1992) Ordering and administration of sedatives and analgesics during the withholding and withdrawal of life support from critically ill patients. Jama 267(7): 949–53

    Article  CAS  PubMed  Google Scholar 

  19. Sykes N, Thorns A (2003) The use of opioids and sedatives at the end of life. Lancet Oncol 4: 312–8

    Article  PubMed  Google Scholar 

  20. Sprung CL, Cohen SL, Sjokvist et al. (2003) End-Of-Life Practices in European Intensive Care Units. The ETHICUS Study. Jama 290: 790–7

    Article  Google Scholar 

  21. Rocker GM, Heyland DK, Cook DJ et al. (2004) Most critically ill patients are perceived to die in comfort during withdrawal of life support: a Canadian multicentre study. Can J Anaesth 51(6): 623–30

    Article  PubMed  Google Scholar 

  22. Hawryluck LA, Harvey WR, Lemieux-Charles L, Singer PA (2002) Consensus guidelines on analgesia and sedation in dying intensive care unit patients. BMC Med Ethics 12(3): E3

    Article  Google Scholar 

  23. Campbell ML (2004) Terminal dyspnea and respiratory distress. Crit Care Clin 20(3): 403–17

    Article  PubMed  Google Scholar 

  24. Dunn GP, Milch RA, Mosenthal AC et al. (2002) Palliative care by the surgeon: how to do it. J Am Coll Surg 194(4): 509–37

    Article  PubMed  Google Scholar 

  25. Kompanje EJ, Van der Hoven B, Bakker J (2008) Anticipation of distress after discontinuation of mechanical ventilation in the ICU at the end of life. Intensive Care Med 34(9): 1593–9

    Article  CAS  PubMed  Google Scholar 

  26. Faber-Langendoen K (1994) The clinical management of dying patients receiving mechanical ventilation. A survey of physician practice. Chest 106: 880–8

    Article  CAS  PubMed  Google Scholar 

  27. Ferrand E, Lemaire F, Regnier B et al. (2003) Discrepancies between perceptions by physicians and nursing staf of ICU end-of-life decisions. French RESSENTI Group. Am J Respir Crit Care Med 167(10): 1310–5

    Article  PubMed  Google Scholar 

  28. Brody H, Campbell ML, Faber-Langendoen K, Ogle KS (1997) Withdrawing intensive life-sustaining treatment-recommendations for compassionate clinical management. N Engl J Med 27; 336(9):652–7

    Article  Google Scholar 

  29. Grenvik A (1983) Terminal weaning; discontinuance of life-support therapy in the terminally ill patient. Crit Care Med 11(5): 394–5

    Article  CAS  PubMed  Google Scholar 

  30. Campbell ML, Carlson RW (1992) Terminal weaning from mechanical ventilation: ethical and practical considerations for patient management. Am J Crit Care 1(3): 52–6

    CAS  PubMed  Google Scholar 

  31. Asch DA, Faber-Langendoen K, Shea JA, Christakis NA (1999) The sequence of withdrawing life-sustaining treatment from patients. Am J Med 107(2): 153–6

    Article  CAS  PubMed  Google Scholar 

  32. Farthouk M, Brun-Buisson C, Lemaire F (2005) Terminal extubation in 5 end-of-life patients in intensive care units. Presse Med 34(7): 495–501

    Article  Google Scholar 

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Authors and Affiliations

  1. Département d’anesthésie-réanimation, Hôpital Tenon, AP-HP, 4, rue de la Chine, 75970, Paris, France

    É. Ferrand

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  1. É. Ferrand
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Ferrand, É. (2010). La sédation en fin de vie en réanimation. In: Analgésie et sédation en réanimation. Le point sur .... Springer, Paris. https://doi.org/10.1007/978-2-287-99029-8_17

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  • DOI: https://doi.org/10.1007/978-2-287-99029-8_17

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99028-1

  • Online ISBN: 978-2-287-99029-8

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