European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care

Nathan I. Cherny, Lukas Radbruch, Martin Chasen, Nessa Coyle, Daniel Charles, Mervyn Dean, Susan Derby, Marie Fallon, Betty Ferrel, Frank Ferris, Timothy Kirk, Judith Lacy, Reidar Lie, Sara Lieber, Charles Loprinzi, Amitai Oberman, Ora Rosengarten, Claud Regnard, Gil Bar Sella, Pesach ShvartzmanJim Shalom, Charles Sprung, Florian Strasser, Christina Ullrich, Charles Von Gunten, Augusto Caraceni, Michaela Berkovitch, Pam Firth, Katalin Hegedus, Maria Nabal, Sheila Payne, Andre Rhebergen, Esther Schmidlin, Per Sjogren, Carol Tishelman, Chantal Wood, Franco DeConno

Research output: Contribution to journalArticle

366 Scopus citations

Abstract

The European Association for Palliative Care (EAPC) considers sedation to be an important and necessary therapy in the care of selected palliative care patients with otherwise refractory distress. Prudent application of this approach requires due caution and good clinical practice. Inattention to potential risks and problematic practices can lead to harmful and unethical practice which may undermine the credibility and reputation of responsible clinicians and institutions as well as the discipline of palliative medicine more generally. Procedural guidelines are helpful to educate medical providers, set standards for best practice, promote optimal care and convey the important message to staff, patients and families that palliative sedation is an accepted, ethical practice when used in appropriate situations. EAPC aims to facilitate the development of such guidelines by presenting a 10-point framework that is based on the pre-existing guidelines and literature and extensive peer review.

Original languageEnglish (US)
Pages (from-to)581-593
Number of pages13
JournalPalliative Medicine
Volume23
Issue number7
DOIs
StatePublished - Nov 16 2009

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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    Cherny, N. I., Radbruch, L., Chasen, M., Coyle, N., Charles, D., Dean, M., Derby, S., Fallon, M., Ferrel, B., Ferris, F., Kirk, T., Lacy, J., Lie, R., Lieber, S., Loprinzi, C., Oberman, A., Rosengarten, O., Regnard, C., Sella, G. B., ... DeConno, F. (2009). European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care. Palliative Medicine, 23(7), 581-593. https://doi.org/10.1177/0269216309107024