Publications by authors named "G AUDIBERT"
Context: In European and Anglo-Saxon countries, life-sustaining treatment (LST) limitation decisions precede more than 80% of ICU deaths. However, there is now increasing evidence of disagreement and conflict between clinical teams and family members over LST limitation decisions. In some cases, these conflicts are brought to the courts.
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- The study investigates the experiences of ICU healthcare professionals regarding controlled donation after circulatory death (cDCD), amid ethical concerns between end-of-life care and organ donation.
- Conducted in 32 ICUs in France, the study surveyed 206 physicians and nurses after the deaths of patients considered potential cDCD donors, measuring their anxiety levels and feelings of tension related to the donation process.
- Results show that cDCD does not significantly increase anxiety for healthcare professionals compared to regular end-of-life situations, with a general positive perception of cDCD among them, suggesting a need for better support in balancing life support decisions and organ donation.
Introduction: The situation in France is unique, having a legal framework for continuous and deep sedation (CDS). However, its use in intensive care units (ICU), combined with the withdrawal of life-sustaining therapies, still raises ethical issues, particularly its potential to hasten death. The legalization of assistance in dying, i.
View Article and Find Full Text PDFBackground: Optimisation of brain oxygenation might improve neurological outcome after traumatic brain injury. The OXY-TC trial explored the superiority of a strategy combining intracranial pressure and brain tissue oxygen pressure (PbtO) monitoring over a strategy of intracranial pressure monitoring only to reduce the proportion of patients with poor neurological outcome at 6 months.
Methods: We did an open-label, randomised controlled superiority trial at 25 French tertiary referral centres.
Article Synopsis
- - The study investigates the use of continuous and deep sedation until death in French ICUs, revealing that 60% of patients who underwent it lacked a formal decision-making process and consultation with external physicians in some cases.
- - Out of 343 patients studied, a formalized sedation protocol was only present in 32% of ICUs, suggesting inconsistencies in practice across different settings.
- - The findings indicate a need for better adherence to legal frameworks in end-of-life care to ensure decision-making aligns with practices and outcomes.