Sedierung in der Palliativversorgung, auch „palliative Sedierung“ genannt, ist eine
wichtige Behandlungsoption für Patienten, die unter therapierefraktären Symptomen
in einem für sie unerträglichen Maße leiden. Ziel ist die bestmögliche Linderung dieses
Leidens durch Reduktion des Bewusstseins. Essenziell für diese klinisch und ethisch
herausfordernden Situationen ist eine gute Kommunikation zwischen allen Beteiligten.
Abstract
Sedation in palliative care, also called „palliative sedation“, is an important treatment
option for patients who experience unbearable suffering from treatment-refractory
symptoms at the end of life. The aim is to reduce this suffering as far as possible
by reduction of the patient’s consciousness. Good communication between all people
involved is crucial for these clinically and ethically challenging situations. This
article presents definitions of key terms and of different types of sedation. It then
describes the process of sedation step by step: 0. Pre-emptive discussion of the option
of sedation (in the context of advance care planning); 1. indication and decision
making; 2. information and informed consent; 3. documentation when starting sedation;
4. start of sedation; 5. monitoring and adaption of sedation; 6. medical and nursing
care and documentation during sedation; 7. care and processes after the death of the
patient (if applicable).
Schlüsselwörter
(palliative) Sedierung - Palliativversorgung - Leitlinien - Hypnotika und Sedativa
Key words
(palliative) sedation - palliative care - guidelines - hypnotics and sedatives
