ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2012
A survey of the sedation practice of Portuguese palliative care teams.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Identification and evaluation of observational measures for the assessment and/or monitoring of level of consciousness in adult palliative care patients: A systematic review for I-CAN-CARE.Palliative medicine · 2020Pooled it
- Continuous Sedation in Palliative Care in Portugal: A Prospective Multicentric Study.Journal of palliative care · 2025Article
- How to measure the effects and potential adverse events of palliative sedation? An integrative review.Palliative medicine · 2021Review
- Article
- Palliative sedation in advanced cancer patients hospitalized in a specialized palliative care unit.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- The EAPC framework on palliative sedation and clinical practice--a questionnaire-based survey in Germany.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014Article
- Delirium, sedation and analgesia in the intensive care unit: a multinational, two-part survey among intensivists.PloS one · 2014Observational
- A cross-sectional survey of pain in palliative care in Portugal.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe purpose of this study is to study the practice of sedation by Portuguese palliative care teams.
methodsThe teams included on the website of the Portuguese Association for Palliative Care were invited to participate. Data from all the patients sedated between April and June 2010 were recorded. Sedation was defined as the intentional administration of sedative drugs for symptom control, except insomnia, independently of the consciousness level reached.
resultsOf the 19 teams invited only 4 actually participated. During the study period, 181 patients were treated: 171 (94 %) were cancer patients and 10 non-cancer patients. Twenty-seven (16 %) patients were sedated: 13 intermittently, 11 continuously, and 3 intermittently at first then continuously. The rate of sedation varied substantially among the teams. Delirium was the most frequent reason for sedation. Midazolam was the drug used in most cases. In 21 cases of sedation, the decision was made unilaterally by the professionals; in 16 (76 %) of those, the situation was deemed to be emergent. From the patients on continuous sedation, 9 (64 %) patients maintained oxygen, 13 (93 %) hydration, and 6 (43 %) nutrition. Two patients who had undergone intermittent sedation were discharged home and one was transferred to another institution; the reason for sedation in the three cases was delirium.
conclusionThere is a substantial variation in the sedation rate among the teams. One of the most important aspects was the decision-making process which should be object of reflection and discussion in the teams.
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