2020年9月
The Principles of Revised Clinical Guidelines about Palliative Sedation Therapy of the Japanese Society for Palliative Medicine.
Journal of palliative medicine
- 巻
- 23
- 号
- 9
- 開始ページ
- 1184
- 終了ページ
- 1190
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1089/jpm.2019.0626
Background:
When the suffering of a terminally ill patient is intolerable and refractory, sedatives are sometimes used for symptom relief.
Objective:
To describe the main principles of revised Japanese clinical guidelines about palliative sedation therapy.
Design:
Consensus methods using the Delphi technique were used.
Results:
The main principles of the guidelines that were newly defined or developed are as follows: (1) palliative sedation was defined as "administration of sedatives for the purpose of alleviating refractory suffering" (excluding the aim of reducing patient consciousness); (2) palliative sedation was classified according to the method of administration of sedatives: respite sedation versus continuous sedation (including (continuous) proportional sedation and continuous deep sedation); (3) a description of state-of-the-art recommended treatments for difficult symptoms such as delirium, dyspnea, and pain before the symptom was determined as refractory was included; (4) the principle of proportionality was newly defined from an ethical point of view; and (5) families' consent was regarded as being desirable (mandatory in the previous version).
Conclusions:
We described the main principles of revised Japanese clinical guidelines about palliative sedation therapy. Further consensus building is necessary.
When the suffering of a terminally ill patient is intolerable and refractory, sedatives are sometimes used for symptom relief.
Objective:
To describe the main principles of revised Japanese clinical guidelines about palliative sedation therapy.
Design:
Consensus methods using the Delphi technique were used.
Results:
The main principles of the guidelines that were newly defined or developed are as follows: (1) palliative sedation was defined as "administration of sedatives for the purpose of alleviating refractory suffering" (excluding the aim of reducing patient consciousness); (2) palliative sedation was classified according to the method of administration of sedatives: respite sedation versus continuous sedation (including (continuous) proportional sedation and continuous deep sedation); (3) a description of state-of-the-art recommended treatments for difficult symptoms such as delirium, dyspnea, and pain before the symptom was determined as refractory was included; (4) the principle of proportionality was newly defined from an ethical point of view; and (5) families' consent was regarded as being desirable (mandatory in the previous version).
Conclusions:
We described the main principles of revised Japanese clinical guidelines about palliative sedation therapy. Further consensus building is necessary.
- ID情報
-
- DOI : 10.1089/jpm.2019.0626
- PubMed ID : 32283043