ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018
Attitudes towards end-of-life issues in intensive care unit among Italian anesthesiologists: a nation-wide survey.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 29 citations in OpenAlex.
- Article
- Legislation on Medical Assistance in Dying (MAID): Preliminary Consideration on the First Regional Law in Italy.Healthcare (Basel, Switzerland) · 2025Article
- Current status of palliative care delivery and self-reported practice in ICUs in Japan: a nationwide cross-sectional survey of physician directors.Journal of intensive care · 2022Article
- Development and Validation of a Questionnaire investigating the Knowledge, Attitudes and Practices of Healthcare Workers in the Field of Anesthesiology concerning the Italian Law on Advance Healthcare Directives: a Pilot Study.Acta bio-medica : Atenei Parmensis · 2021Article
- Palliative Care Principles and Anesthesiology Clinical Practice: Current Perspectives.Journal of multidisciplinary healthcare · 2021Review
- The clash between palliative care and COVID-19.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Withholding and withdrawal of life-sustaining treatments in intensive care units in Lebanon: a cross-sectional survey of intensivists and interviews of professional societies, legal and religious leaders.BMC medical ethics · 2020Article
- Nurses' Experiences and Factors Related to Their Attitudes Regarding Discussions with Patients and Family Members about Do-Not-Resuscitate Decisions and Life-Sustaining Treatment Withdrawal: A Hospital-Based Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Fake news and patient-family-physician interaction in critical care: concepts, beliefs and potential countermeasures.Anaesthesiology intensive therapy · 2020Review
- Palliative care in intensive care units: why, where, what, who, when, how.BMC anesthesiology · 2018Review
- Palliative ventilatory support: same knowledge, different goal.Journal of thoracic disease · 2018Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this paper is to collect data on the practice of palliative care, withholding and withdrawal of life-sustaining therapies, and management of end of life (EOL) in Italian intensive care units (ICUs).
methodsWeb-based survey among Italian anesthesiologists endorsed by the Italian Society of Anesthesiology Analgesia Reanimation and Intensive Care (SIAARTI). The survey consists of 27 close-ended and 2 open-ended questions.
resultsEight hundred and five persons responded to the full list of questions. The highest proportion of respondents was of 36-45 years of age (34%) and catholic (66%). Almost 70% of responders declared that palliative/supportive care are applied in their ICU in case of futility of intensive treatments. Decision on withdrawing/withholding of life-sustaining treatments resulted from team consensus in most cases (58%). In more than 70% of responders' ICUs, there is no collaboration with palliative/supportive care experts. Systematic recording of most frequent symptoms experienced by critically ill patients (e.g., pain, dyspnea, thirst) was not common. Vasopressors, extracorporeal therapies, blood component transfusions and invasive monitoring were the most commonly modified/interrupted measures in case of futility. Almost 85% of respondents have not received training in palliative/supportive care. The proportion of respondents whose institution has a palliative care team and who had training in palliative care was not homogenous across the country.
conclusionsThese data suggest that training in palliative care and its clinical application should be implemented in Italy. Efforts should be made to improve and homogenize the management of dying patients in ICU.
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