Evidence map›Paper›PMID 40879752›Full record

GuidelineMedizinische Klinik, Intensivmedizin und Notfallmedizin2025

[Treatment and support for adults at the end of life in intensive care. A recommendation by the Ethics Section of DIVI and the German Society for Palliative Medicine. : Part 2: Therapeutic measures and support at the end of life in intensive care].

Kathrin Knochel, Iris Barndt, Gunnar Duttge, Jochen Dutzmann, T Johanna Eggardt, Kristina Fuest, Stefan Meier, Andrej Michalsen, Friedemann Nauck, Martin Neukirchen and 5 more

Abstract readPractice GuidelineReviewEnglish Abstract
PubMed Publisher
In one paragraph

Guideline in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. [Spiritual care in intensive care and emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    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

15 authors.

Kathrin KnochelKlinische Ethik, TUM Universitätsklinikum, TUM School of Medicine and Health, Technische Universität München, München, Deutschland.
Iris BarndtKlinik für Kardiologie und Internistische Intensivmedizin, Johannes Wesling Klinikum, Universitätsklinikum Minden, Minden, Deutschland.
Gunnar DuttgeZentrum für Medizinrecht und Institut für Kriminalwissenschaften, Georg-August-Universität Göttingen, Göttingen, Deutschland.
Jochen DutzmannUniversitätsklinik und Poliklinik für Innere Medizin III, Kardiologie, Angiologie und internistische Intensivmedizin, Universitätsmedizin Halle, Halle, Deutschland.
T Johanna EggardtMedizinische Klinik m.S. Nephrologie und Internistische Intensivmedizin, Medical Resident , Department of Nephrology and Intensive Care, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
Kristina FuestKlinik für Anästhesiologie & Intensivmedizin, TUM Universitätsklinikum Rechts der Isar, München, Deutschland.
Stefan MeierKlinik für Anästhesiologie, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland.
Andrej MichalsenKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie Klinikum Konstanz, Konstanz, Deutschland.
Friedemann NauckKlinik für Palliativmedizin, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Martin NeukirchenKlinik für Anästhesiologie, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland.
Ulrike OlgemöllerKlinik für Kardiologie und Pneumologie Universitätsmedizin Göttingen, Georg-August-Universität, Göttingen, Deutschland.
Raffael RiegelAbteilung für Anästhesie und Intensivmedizin, GFO-Kliniken Bonn, Bonn, Deutschland.
Manuela SchallenburgerHochschule Flensburg University of Applied Science, Flensburg, Deutschland.
Alexander SupadyInterdisziplinäre Medizinische Intensivtherapie (IMIT), Universitätsklinik Freiburg, Freiburg, Deutschland.
Susanne JöbgesKlinik für Anästhesiologie und Intensivmedizin, Campus Charité Mitte und Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Berlin, Deutschland. susanne.joebges@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Life in an intensive care unit (ICU) involves the successful use of life-sustaining treatment and patients dying. In intensive care medicine, allowing a patient to die often means discontinuing life-sustaining measures. Together with the severity of the illness, this has a significant impact on the course of the dying process. End of life treatment and support focus on alleviating symptoms. The interprofessional team's task in the ICU is to anticipate, plan and implement palliative measures. A family-centered approach to palliative care requires providing human resources for psychosocial support and spiritual care for those affected. Implementing internal recommendations for action improves the quality of care. Training in the necessary skills to support people at the end of life is an integral component of education and ongoing professional development. This training includes basic knowledge of palliative care as well as specific knowledge about terminating life-sustaining measures.

Indexed as

Critical CareIntensive Care UnitsPalliative CareTerminal CareAdultGermanyHumansInterdisciplinary CommunicationIntersectoral CollaborationPalliative MedicinePatient Care TeamSocieties, MedicalCommunicationEnd of lifeFamily-centered careIntensive care unitPalliative care

Identifiers

PMID40879752

What OpenQuestion holds

Textmetadata
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.