Evidence map›Paper›PMID 38315182›Full record

ReviewDie Anaesthesiologie2024

[Comfort Terminal Care in the intensive care unit: recommendations for practice].

Eva Schaden, Helga Dier, Dietmar Weixler, Walter Hasibeder, Andrea Lenhart-Orator, Christian Roden, Sonja Fruhwald, Barbara Friesenecker, ARGE Ethik in Anästhesie und Intensivmedizin der ÖGARI

Abstract readEnglish AbstractReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Die Anaesthesiologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Palliative extubation in intensive care units: scoping review.Revista da Escola de Enfermagem da U S P · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Eva SchadenUniversitätsklinik für Anästhesie, Allgemeine Intensivmedizin und Schmerztherapie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. eva.schaden@meduniwien.ac.at.
Helga DierKlinische Abteilung für Anästhesie und Intensivmedizin, Universitätsklinikum St. Pölten, St. Pölten, Österreich.
Dietmar WeixlerPalliativkonsiliardienst und mobiles Palliativteam, Landesklinikum Horn-Allentsteig, Horn, Österreich.
Walter HasibederAbteilung für Anästhesie und Perioperative Intensivmedizin, St. Vinzenz Krankenhaus Betriebs GmbH Zams, Zams, Österreich.
Andrea Lenhart-OratorAbteilung für Anästhesie, Intensiv-, und Schmerzmedizin, Klinik Ottakring Wien; i.R., Wien, Österreich.
Christian RodenAnästhesie und Intensivmedizin, Palliativstation, Krankenhaus der Barmherzigen Schwestern Ried, Ried im Innkreis, Österreich.
Sonja FruhwaldKlinische Abteilung für Anästhesiologie und Intensivmedizin 2, Universitätsklinik für Anästhesiologie und Intensivmedizin, Medizinische Universität Graz, Graz, Österreich.
Barbara FrieseneckerUniversitätsklinik für Allgemeine und Chirurgische Intensivmedizin, Medizinische Universität Innsbruck, Innsbruck, Österreich.
ARGE Ethik in Anästhesie und Intensivmedizin der ÖGARI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe Working Group on Ethics in Anesthesia and Intensive Care Medicine of the Austrian Society for Anesthesiology Resuscitation and Intensive Care Medicine (ÖGARI) already developed documentation tools for the adaption of therapeutic goals 10 years ago. Since then the practical implementation of Comfort Terminal Care in the daily routine in particular has raised numerous questions, which are discussed in this follow-up paper and answered in an evidence-based manner whenever possible.

resultsThe practical implementation of pain therapy and reduction of anxiety, stress and respiratory distress that are indicated in the context of Comfort Terminal Care are described in more detail. The measures that are not (or no longer) indicated, such as oxygen administration and ventilation as well as the administration of fluids and nutrition, are also commented on. Furthermore, recommendations are given regarding monitoring, (laboratory) findings and drug treatment and the importance of nursing actions in the context of Comfort Terminal Care is mentioned. Finally, the support for the next of kin and the procedure in the time after death are presented. DISCUSSION: A change in treatment goals with a timely switch to Comfort Terminal Care enables good and humane care for seriously ill patients and their relatives at the end of life and the appreciation of their previous life with the possibility of positive experiences until the end.

Indexed as

Terminal CareCritical CareHumansIntensive Care UnitsPain ManagementPalliative CareCritical careEthicsPalliative carePatient-centered careTerminal care

Identifiers

PMID38315182
PMCPMC10920446

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.