Recommendations Developed for Responding to ICU Tx Requests

Share this content:
Recommendations Developed for Responding to ICU Tx Requests
Recommendations Developed for Responding to ICU Tx Requests

(HealthDay News) -- Multisociety recommendations have been developed to help physicians respond to requests for potentially inappropriate treatments in intensive care units. The policy statement was published online May 15 in the American Journal of Respiratory and Critical Care Medicine.

Gabriel T. Bosslet, M.D., from the Indiana University School of Medicine in Indianapolis, and colleagues developed recommendations using an iterative consensus process, including expert committee development and peer review by committees from multiple professional societies.

According to the committee, institutions should implement strategies to prevent treatment conflicts, including communication and early involvement of consultants. The term "potentially inappropriate" should be used instead of "futile" to describe treatments that have at least some chance of accomplishing the effect sought by the patient. Physicians should explain and advocate for the treatment plan they feel is most appropriate. Conflicts regarding potentially inappropriate treatments should be managed by a process which includes hospital review and attempts to find a willing provider elsewhere. Use of "futile" should be limited to situations where surrogates request treatment that cannot achieve their intended goal. The medical profession should lead efforts to engage the public and advocate for policies and legislation about appropriate use of life-prolonging technologies.

"The multisociety statement on responding to requests for potentially inappropriate treatments in intensive care units provides guidance for clinicians to prevent and manage disputes in patients with advanced critical illness," the authors write.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Ground Beef Recalled After E. Coli Outbreak

Ground Beef Recalled After <i>E. Coli</i> Outbreak

Beef was produced and packaged at Cargill Meat Solutions in Fort Morgan, Colo.

Prevalence of Alzheimer's, Related Dementia Set to Double

Prevalence of Alzheimer's, Related Dementia Set to Double

Alzheimer's disease and related dementias burden is expected to increase to 3.3 percent in 2060

Long-Term Outcomes of Breast Implants Explored

Long-Term Outcomes of Breast Implants Explored

Higher rates of Sjogren syndrome, scleroderma, RA, stillbirth, melanoma for silicone implants

is free, fast, and customized just for you!




Already a member?

Sign In Now »