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10.2147/CIA.S82760 http://scihub22266oqcxt.onion/10.2147/CIA.S82760 C4396346!4396346!25897214     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25897214&cmd=llinks): Failed to open stream: HTTP request failed! 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Compassionate extubation for a peaceful death in the setting of a community hospital: a case-series study |pdf=|usr=}}{{25897214}} gab.com Text Compassionate extubation for a peaceful death in the setting of a community hospital: a case-series study JO: Clin Interv Aging http://www.kidney.de/pget.php?&tw=1&pmid=25897214 #FOAvip Background: The use of compassionate extubation (CE) to alleviate suffering by terminating mechanical ventilation and withdrawing the endotracheal tube requires professional adherence and efficiency. The Hospice Palliative Care Act, amended on January 9, 2013, legalizes the CE procedure in Taiwan. Methods: From September 20, 2013 to September 2, 2014, the hospice palliative care team at a community hospital received 20 consultations for CE. Eight cases were excluded because of non-qualification. Following approval from the Ethics Committee, the medical records of the remaining 12 patients were reviewed and grouped by the underlying disease: A, ?terminal-stage cancer?; B, ?non-cancer out-of-hospital cardiac arrest?; and C, ?non-cancer organ failure?. Time to extubation using a cut-off at 48 hours was assessed. Results: The mean ages of patients (standard deviation) in groups A, B, and C were 66.3 (14.9) years, 72 (19.1) years, and 80.3 (4.0) years, respectively. The mean number of days of intubation at consultation were 6.8 (4.9), 7.3 (4.9), and 179.3 (271.6), respectively. The mean total doses of opioids (as morphine-equivalent dose) in the 24 hours preceding CE were 76 (87.5) mg, 3.3 (5.8) mg, and 43.3 (15.3) mg. The median times from extubation (range) to death were 97 (0.2?245) hours, 0.3 (0.2?0.4) hours, and 6.1 (3.6?71.8) hours. Compared to those requiring <48-hour preparatory time, patients requiring >48 hours to the moment of CE were younger (62.8 years vs 75.5 years), required a mean time of 122 hours (vs 30 hours) to CE (P=0.004), had shorter length of stay (33.3 days vs 77.8 days), required specialist social worker intervention in 75% of cases (vs 37.5%), and had a median duration of intubation of 11.5 days (vs 5.5 days). Conclusion: CE was carried out according to protocol, and the median time from extubation to death varies determined by the underlying disease which was 0.3 hour in patients admitted after out-of-hospital cardiac arrest and 97 hours in patients with advanced cancer. Twit Text FOAVip Compassionate extubation for a peaceful death in the setting of a community hospital: a case-series study ????Clin Interv Aging http://www.kidney.de/pget.php?&tw=1&pmid=25897214 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25897214 #FOAvip English Wikipedia <ref>{{Cite pmid|25897214}}</ref> Compassionate extubation for a peaceful death in the setting of a community hospital: a case-series study #MMPMID25897214 Kok VC Clin Interv Aging 2015[]; 10 (ä): 679-85 PMID25897214show ga Background: The use of compassionate extubation (CE) to alleviate suffering by terminating mechanical ventilation and withdrawing the endotracheal tube requires professional adherence and efficiency. The Hospice Palliative Care Act, amended on January 9, 2013, legalizes the CE procedure in Taiwan. Methods: From September 20, 2013 to September 2, 2014, the hospice palliative care team at a community hospital received 20 consultations for CE. Eight cases were excluded because of non-qualification. Following approval from the Ethics Committee, the medical records of the remaining 12 patients were reviewed and grouped by the underlying disease: A, ?terminal-stage cancer?; B, ?non-cancer out-of-hospital cardiac arrest?; and C, ?non-cancer organ failure?. Time to extubation using a cut-off at 48 hours was assessed. Results: The mean ages of patients (standard deviation) in groups A, B, and C were 66.3 (14.9) years, 72 (19.1) years, and 80.3 (4.0) years, respectively. The mean number of days of intubation at consultation were 6.8 (4.9), 7.3 (4.9), and 179.3 (271.6), respectively. The mean total doses of opioids (as morphine-equivalent dose) in the 24 hours preceding CE were 76 (87.5) mg, 3.3 (5.8) mg, and 43.3 (15.3) mg. The median times from extubation (range) to death were 97 (0.2?245) hours, 0.3 (0.2?0.4) hours, and 6.1 (3.6?71.8) hours. Compared to those requiring <48-hour preparatory time, patients requiring >48 hours to the moment of CE were younger (62.8 years vs 75.5 years), required a mean time of 122 hours (vs 30 hours) to CE (P=0.004), had shorter length of stay (33.3 days vs 77.8 days), required specialist social worker intervention in 75% of cases (vs 37.5%), and had a median duration of intubation of 11.5 days (vs 5.5 days). Conclusion: CE was carried out according to protocol, and the median time from extubation to death varies determined by the underlying disease which was 0.3 hour in patients admitted after out-of-hospital cardiac arrest and 97 hours in patients with advanced cancer. äCompassionate extubation for a peaceful death in the setting of a comm(epmc).pdf DeepDyve Pubget Overpricing