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Justifying Different Levels of Palliative Sedation

2010; American College of Physicians; Volume: 152; Issue: 5 Linguagem: Inglês

10.7326/0003-4819-152-5-201003020-00015

1539-3704

Victor Cellarius,

Pharmacological Effects and Toxicity Studies

Letters2 March 2010Justifying Different Levels of Palliative SedationVictor Cellarius, MD and Blair HenryVictor Cellarius, MDFrom Mount Sinai Hospital, Toronto, Ontario M5G 1X5, Canada; and Sunnybrook Health Sciences Centre, Toronto, Ontario M4N 3M5, Canada. and Blair HenryFrom Mount Sinai Hospital, Toronto, Ontario M5G 1X5, Canada; and Sunnybrook Health Sciences Centre, Toronto, Ontario M4N 3M5, Canada.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-5-201003020-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read with great interest the article by Quill and colleagues (1), which presented and discussed 3 categories of palliative sedation: ordinary sedation, proportionate palliative sedation (PPS), and palliative sedation to unconsciousness (PSU). One notion shared by these practices, and by all attempts to justify sedation, is that the degree of sedation should match the symptoms—proportionality.The prominence of proportionality in this and other discussions of palliative sedation suggests a simpler and ethically clearer classification. Instead of "ordinary," "proportionate," and "unconscious" sedation, we suggest that all palliative sedation be classified as PPS. This is not a confusion ...References1. Quill TE, Lo B, Brock DW, Meisel A. Last-resort options for palliative sedation. Ann Intern Med. 2009;151:421-4. [PMID: 19755367] LinkGoogle Scholar2. de Graeff A, Dean M. Palliative sedation therapy in the last weeks of life: a literature review and recommendations for standards. J Palliat Med. 2007;10:67-85. [PMID: 17298256] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Mount Sinai Hospital, Toronto, Ontario M5G 1X5, Canada; and Sunnybrook Health Sciences Centre, Toronto, Ontario M4N 3M5, Canada.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoLast-Resort Options for Palliative Sedation Timothy E. Quill , Bernard Lo , Dan W. Brock , and Alan Meisel Justifying Different Levels of Palliative Sedation Daniel P. Sulmasy , Farr Curlin , Gerard S. Brungardt , and Thomas Cavanaugh Justifying Different Levels of Palliative Sedation Timothy E. Quill , Daniel Brock , Bernard Lo , and Alan Meisel Metrics Cited ByPalliative Sedation: A Medical-Ethical ExplorationReflections on palliative sedationPalliative Sedation: A Medical-Ethical ExplorationPalliative sedation: Controversies and challengesPalliatieve sedatie: hoe diep? 2 March 2010Volume 152, Issue 5Page: 332KeywordsConflicts of interestSedation ePublished: 2 March 2010 Issue Published: 2 March 2010 CopyrightCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...