A favorable course of palliative sedation: searching for indicators using caregivers' perspectives.

Am J Hosp Palliat Care

Department of Anaesthesiology, VU University Medical Center Amsterdam, Amsterdam, the Netherlands EMGO Institute for Health and Care Research (EMGO+), VU University Medical Center Amsterdam, Amsterdam, the Netherlands Palliative Care Centre of Expertise, VU University Medical Center Amsterdam, Amsterdam, the Netherlands Hospice Kuria, Amsterdam, the Netherlands

Published: March 2015

Objective: Comparing characteristics of a favorable sedation course during palliative sedation to a less favorable course based on the reports Dutch physicians and nurses.

Results: Cases identified as having a favorable sedation course less often concerned a male patient (P = .019 nurses' cases), reached the intended sedation depth significantly quicker (P < .05 both nurses and physicians' cases), reached a deeper level of sedation (P = .015 physicians' cases), and had a shorter total duration of sedation compared (P < .001 physicians' cases) to patients with a less favorable sedation course.

Conclusions: A favorable course during palliative sedation seems more probable when health care professionals report on a (relatively) shorter time to reach the required depth of sedation and when a deeper level of sedation can be obtained.

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http://dx.doi.org/10.1177/1049909113512411DOI Listing

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