Evidence map›Paper›PMID 41842828›Full record

ArticleRevista da Escola de Enfermagem da U S P2026

Palliative extubation in intensive care units: scoping review.

Rafaella Guilherme Gonçalves, Lucas Batista Ferreira, Tarcísio Tércio das Neves Júnior, Carlos Jordão de Assis Silva, Fabiane Rocha Botarelli, Rejane Maria Paiva de Menezes

Abstract readScoping Review
In one paragraph

Article in Revista da Escola de Enfermagem da U S P, 2026. 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. 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

6 authors.

Rafaella Guilherme GonçalvesUniversidade Federal do Rio Grande do Norte, Departamento de Enfermagem, Natal, RN, Brazil.ORCID 0000-0001-8006-8061
Lucas Batista FerreiraUniversidade Federal do Rio Grande do Norte, Departamento de Enfermagem, Natal, RN, Brazil.ORCID 0000-0002-1685-6861
Tarcísio Tércio das Neves JúniorUniversidade Federal do Rio Grande do Norte, Departamento de Enfermagem, Natal, RN, Brazil.ORCID 0000-0001-9026-0567
Carlos Jordão de Assis SilvaUniversidade Federal do Rio Grande do Norte, Departamento de Enfermagem, Natal, RN, Brazil.ORCID 0000-0002-9575-9030
Fabiane Rocha BotarelliUniversidade Federal do Rio Grande do Norte, Departamento de Enfermagem, Natal, RN, Brazil.ORCID 0000-0002-6875-3143
Rejane Maria Paiva de MenezesUniversidade Federal do Rio Grande do Norte, Departamento de Enfermagem, Natal, RN, Brazil.ORCID 0000-0002-0600-0621

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo map existing knowledge on palliative extubation in adult patients admitted to intensive care units.

methodScoping review conducted according to JBI guidelines. Searches were conducted between October and December 2024 in seven databases and four repositories, in addition to a reverse search. The selection was independent, the extraction followed a structured protocol, and the report used PRISMA-ScR. The analysis of the results was based on the PAGER framework (Patterns, Advances, Gaps, Evidence for practice and Research recommendations).

resultsThe search identified 1,463 materials and included 44 studies. Publications in 2023 predominated. The findings addressed recommendations for practice, time to death, comparison between terminal extubation and terminal weaning, symptom management, experiences and challenges of professionals, as well as aspects related to decision-making and the use of protocols in palliative extubation.

conclusionPalliative extubation remains marked by heterogeneous practices and limited production of high-level evidence. There is a need for evidence-based protocols and multidisciplinary training to ensure quality care, dignity, and relief from suffering at the end of life.

Indexed as

Airway ExtubationIntensive Care UnitsPalliative CareAdultHumansTerminal Care

Identifiers

PMID41842828
PMCPMC12994597

What OpenQuestion holds

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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.