ArticleJournal of the Intensive Care Society2016
A case for stopping the early withdrawal of life sustaining therapies in patients with devastating brain injuries.
Article in Journal of the Intensive Care Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Article
- Beliefs of physician directors on the management of devastating brain injuries at the Canadian emergency department and intensive care unit interface: a national site-level survey.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Intensive care admission aiming at organ donation. Pro.Intensive care medicine · 2024Article
- Impact of early percutaneous dilatative tracheostomy in patients with subarachnoid hemorrhage on main cerebral, hemodynamic, and respiratory variables: A prospective observational study.Frontiers in neurology · 2023Article
- Brain herniation on computed tomography is a poor predictor of whether patients with a devastating brain injury can be confirmed dead using neurological criteria.Journal of the Intensive Care Society · 2022Article
- Expanding controlled donation after the circulatory determination of death: statement from an international collaborative.Intensive care medicine · 2021Article
- Determining the impact of timing and of clinical factors during end-of-life decision-making in potential controlled donation after circulatory death donors.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020Observational
- Article
- Impact of a Devastating Brain Injury Pathway on Outcomes, Resources, and Organ Donation: 3 Years' Experience in a Regional Neurosciences ICU.Neurocritical care · 2020Article
- Prediction Model for Timing of Death in Potential Donors After Circulatory Death (DCD III): Protocol for a Multicenter Prospective Observational Cohort Study.JMIR research protocols · 2020Article
- Intensive care for organ preservation: A four-stage pathway.Journal of the Intensive Care Society · 2019Article
- Neurocritical care physicians' doubt about whether to withdraw life-sustaining treatment the first days after devastating brain injury: an interview study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
- Management of donation after brain death (DBD) in the ICU: the potential donor is identified, what's next?Intensive care medicine · 2019Review
- Organ donation after circulatory death: current status and future potential.Intensive care medicine · 2019Review
- Admission to Intensive Care for Palliative Care or Potential Organ Donation: Demographics, Circumstances, Outcomes, and Resource Use.Critical care medicine · 2017Article
- Treatment-limiting decisions in patients with severe traumatic brain injury in a Norwegian regional trauma center.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- Outcomes of the first full year of implementing a devastating brain injury pathway.Journal of the Intensive Care Society · 2017Article
- Factors influencing withdrawal of life-sustaining treatments in patients with severe acquired brain injuries: a scoping review.Frontiers in neurologyReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Early prognostication in patients with a devastating brain injury is not always accurate and can lead to inappropriate decisions. We present case histories to support the recent recommendations of the Neurocritical Care Society that treatment withdrawal decisions should be delayed by up to 72 h in these patients. Development of pathways incorporating these recommendations can improve prognostication, enhance end of life care given to these patients and their families, and increase the opportunities to explore the donation wishes of more patients. They may also standardise the approach to decision making in the same way as the recommendations for management of patients after out of hospital cardiac arrest have done.
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Registered trials
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