Results 1 to 10 of about 21,447 (247)

Choosing wisely at the end of life: the crucial role of medical indication

Swiss Medical Weekly, 2016
At the end of life, several treatments are administered routinely that lack medical indication and may cause significant harm to patients. Examples include artificial hydration and oxygen therapy in the dying phase, as well as enteral nutrition in ...
Gian Domenico Borasio, Ralf J. Jox
doaj   +1 more source

Low-dose intracoronary alteplase during primary percutaneous coronary intervention in patients with acute myocardial infarction: the T-TIME three-arm RCT

Efficacy and Mechanism Evaluation, 2020
Background: Microvascular obstruction commonly affects patients with acute ST-segment elevation myocardial infarction and is independently associated with adverse outcomes.
Peter J McCartney, Hany Eteiba, Annette M Maznyczka, Margaret McEntegart, John P Greenwood, Douglas F Muir, Saqib Chowdhary, Anthony H Gershlick, Clare Appleby, James M Cotton, Andrew Wragg, Nick Curzen, Keith G Oldroyd, Mitchell Lindsay, J Paul Rocchiccioli, Aadil Shaukat, Richard Good, Stuart Watkins, Keith Robertson, Christopher Malkin, Lynn Martin, Lynsey Gillespie, Thomas J Ford, Mark C Petrie, Peter W Macfarlane, R Campbell Tait, Paul Welsh, Naveed Sattar, Robin A Weir, Keith A Fox, Ian Ford, Alex McConnachie, Colin Berry   +32 more
doaj   +1 more source

Renouncement of renal replacement therapy: withdrawal and refusal

Brazilian Journal of Nephrology
Renouncement of renal replacement therapy (RRT) is a medical dilemma. This review covers the concept, the magnitude, the prognosis, and discusses strategies and management approaches about this subject in patients with CKD and AKI. Evidence suggests that
José Andrade Moura Neto, Ana Flávia de Souza Moura, José Hermógenes Rocco Suassuna   +2 more
doaj   +1 more source

Ventilação mecânica e obstinação terapêutica ou distanásia, a dialéctica da alta tecnologia em medicina intensiva

Revista Portuguesa de Pneumologia, 2006
Resumo: Distanásia ou qualquer um dos seus sinónimos é uma consequência do excesso terapêutico em relação ao prognóstico esperado. A obstinação terapêutica é um dos dilemas éticos mais angustiantes no quotidiano de medicina intensiva, apesar de a sua ...
Filipe Monteiro
doaj   +1 more source

Frequency of Medical Futility and its Costs in Deceased Neonates with a Probable Diagnosis of Inherited Metabolic Disorder in Children’s Medical Center, Iran

Journal of Mazandaran University of Medical Sciences, 2022
Background and purpose: Futile medical care is referred to any medical intervention or activity that bring no benefit to patients. The aim of this study was to evaluate the frequency of futile treatment and its cost in neonates with a probable diagnosis ...
Mahshid Darabi, Leila Shahbaznejad, Mansure Madani, Maliheh Kadivar   +3 more
doaj  

Futility in TAVI: A scoping review of definitions, predictive criteria, and medical predictive models.

PLoS ONE
BackgroundTranscatheter Aortic Valve Implantation (TAVI) procedures are rapidly expanding, necessitating a more extensive stratification of patients with aortic stenosis.
Charlie Ferry, Jade Fiery-Fraillon, Mario Togni, Stephane Cook   +3 more
doaj   +1 more source

Outcomes of Cardiopulmonary Resuscitation and Estimation of Healthcare Costs in Potential ‘Do Not Resuscitate’ Cases

Sultan Qaboos University Medical Journal, 2016
Objectives: Cardiopulmonary resuscitation (CPR) is a life-saving procedure which may fail if applied unselectively. ‘Do not resuscitate’ (DNR) policies can help avoid futile life-saving attempts among terminally-ill patients.
Akhwand S. Ahmad, Sayed Mudasser, Muhammad N. Khan, Hafiz N. H. Abdoun   +3 more
doaj   +1 more source

Perceived potentially inappropriate treatment in the PICU: frequency, contributing factors and the distress it triggers

Frontiers in Pediatrics
BackgroundPotentially inappropriate treatment in critically ill adults is associated with healthcare provider distress and burnout. Knowledge regarding perceived potentially inappropriate treatment amongst pediatric healthcare providers is limited ...
Amrita Sarpal, Amrita Sarpal, Michael R. Miller, Michael R. Miller, Claudio M. Martin, Claudio M. Martin, Robert W. Sibbald, Robert W. Sibbald, Kathy N. Speechley, Kathy N. Speechley, Kathy N. Speechley   +10 more
doaj   +1 more source

Morte e Morrer em Tempos de COVID-19

Clinical and Biomedical Research, 2021
A pandemia da COVID-19 está tendo impactos em toda a sociedade humana. Muitas questões antes abordadas no plano individual pela Bioética agora tem o desafio de ter o seu enfoque ampliado para toda a sociedade.
José Roberto Goldim, Marcia Santana Fernandes   +1 more
doaj  

Nurses’ perception of futile care: A narrative review [PDF]

Journal of Nursing Advances in Clinical Sciences
The continuous medical and health sciences advancement has significantly increased patient survival rates. However, prolonging life without improving its quality in terminally ill patients has become a challenging issue for care providers, particularly ...
Amir Rezaie, Fatemeh Molayi, Maryam Sadat Shaafi, Mojtaba Ghanbari Ghalesar   +3 more
doaj   +1 more source