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DOI: 10.1055/s-2006-956299
© Georg Thieme Verlag KG Stuttgart · New York
Empfehlungen zur palliativen Sedierung
Arbeitsergebnisse einer internationalen Expertengruppe[*] Definitions and recommendations for palliative sedationResults of an international working group of palliative care expertsPublication History
eingereicht: 18.9.2006
akzeptiert: 9.11.2006
Publication Date:
22 November 2006 (online)

Schlüsselwörter
Palliativmedizin - palliative Sedierung - Leitlinien - Experten - Konsensus - Ethik
Key words
palliative medicine - palliative sedation - guidelines - consensus - ethics
1 *Anmerkung: Die Expertengruppe bestand (in Ergänzung zu den Autoren dieses Artikels) aus folgenden Personen: M. Benamou (Unité de Soins Palliatifs, Hôpital Joffre-Dupuytren, Draveil, France), M. van den Beuken-van Everdingen (Department of Internal Medicine, University Hospital, Maastricht, The Netherlands), D. Bridge (Royal Perth Hospital, Perth, Australia), D. Cameron (Department of Family Medicine, University of Pretoria, South Africa), N. Cherny (Department of Medical Oncology and Palliative Medicine, Shaare Zedek Medical Center, Jerusalem, Israel), M. Dean (Palliative Care Department, Western Memorial Regional Hospital, Corner Brook, Newfoundland and Labrador, Canada ) J. Eisenchlas (Palliative Care Service, Pallium Latinoamerica and Hospital Bonorino Udaondo, Buenos Aires, Argentina), H. Goldman-Pike (Fernlea House Day Hospice, Melbourne, Australia), A. de Graeff (Department of Medical Oncology, University Medical Centre, Utrecht, The Netherland), K. E. Groves (West Lancs, Southport & Formby Palliative Care Services, United Kingdom), F. van Heest (Odoornerveen, The Netherlands), K. L. Lum (Cranford Hospice, Hawkes Bay, New Zealand), J. Menten (University Hospital Gasthuisberg, Leuven, Belgium), C. Miller (New Zealand), T. Morita (Department of Palliative and Supportive Care, Seirei Hospice, Seirei Mikatahara General Hospital, Shizuoka, Japan), C. Pakarinen (Finland), T.E. Quinn (Massachusetts General Hospital, Boston, Massachusetts, USA), C. Regnard (St. Oswald’s Hospice, Newcastle, United Kingdom), P. Rousseau (VA Medical Center and RTA Hospice, Phoenix, Arizona, United States), Y. Singer (Negev Palliative Care Unit, Israel), A. Thorns (Pilgrims Hospices, East Kent NHS Trust, University of Kent, Margate, Kent, United Kingdom), R. Tsuneto (Osaka University, Osaka, Japan), R. Wade (West Suffolk Hospital, Bury St Edmonds, Suffolk, United Kingdom), M. van de Watering (Hospice Bardo, Haarlem, The Netherlands), A. Wilcock (Hayward House Macmillan Specialist Palliative Care Cancer Unit, Nottingham City Hospital, Nottingham, United Kingdom).
Literatur
- 1
Billings J A, Block S D.
Slow euthanasia.
J Palliat Care.
1996;
12
21-30
MissingFormLabel
- 2
Braun T C, Hagen N A, Clark T.
Development of a clinical practice guideline for palliative sedation.
J Palliat Med.
2003;
6
345-350
MissingFormLabel
- 3
Brody H.
Commentary on Billings and Block’s „Slow euthanasia”.
J Palliat Care.
1996;
12
38-41
MissingFormLabel
- 4 Broeckaert B. Palliative sedation: ethical aspects,. Leuven, Leuven University Press in Gastmans C (ed). Between technology and humanity. The impact of technology on health
care ethics 2002: 239-255
MissingFormLabel
- 5 Centre for Evidence Based Medicine .Levels of Evidence and grades of recommendation. http://www.cebm.net/levels_of_evidence.asp
MissingFormLabel
- 6
Cherny N I, Portenoy R K.
Sedation in the management of refractory symptoms: guidelines for evaluation and treatment.
J Palliat Care.
1994;
10
31-38
MissingFormLabel
- 7
Cherny N I.
Sedation in response to refractory existential distress: Walking the fine line.
J Pain Symptom Manage.
1998;
16
404-406
MissingFormLabel
- 8 Cherny N I. Sedation: uses, abuses and ethics at the end of life. Jerusalem, Israel: Shaare Zedek Medical Centre 2003
MissingFormLabel
- 9
Cowan J D, Palmer T W.
Practical guide to palliative sedation.
Curr Oncol Rep.
2002;
4
242-249
MissingFormLabel
- 10
Dahlkamp J, Fröhlingsdorf M, Ludwig U.
Tiefschlaf bis zum Tod.
Der Spiegel.
2003;
41
206-208
MissingFormLabel
- 11
De Graeff A, Dean M.
Palliative Sedation Therapy in the last weeks of life - a literature review and recommendations
for standards.
J Palliat Med.
2006;
in publ
MissingFormLabel
- 12
Hawryluck L A, Harvey W RC, Lemieux-Charles L. et al .
Consensus guidelines on analgesia and sedation in dying intensive care unit patients.
BMC Medical Ethics.
2002;
3
3
MissingFormLabel
- 13
von Kolfschooten F.
Dutch television report stirs up euthanasia controversy.
Lancet.
2003;
361
1352-1353
MissingFormLabel
- 14
Levy M H, Cohen S D.
Sedation for the relief of refractory symptoms in the imminently dying: a fine intentional
line.
Semin Oncol.
2005;
32
237-246
MissingFormLabel
- 15
Loewy E H.
Terminal sedation, self-starvation, and orchestrating the end of life.
Archives of Internal Medicine.
2001;
161
329-332
MissingFormLabel
- 16
Materstvedt L J, Clark D, Ellershaw J. et al .
Euthanasia and physician-assisted suicide: a view from an EAPC Ethics Task Force.
Palliat Med.
2003;
17
97-101
MissingFormLabel
- 17
Morita T, Bito S, Kurihara Y. et al .
Development of a clinical guideline for palliative sedation therapy using the Delphi
method.
J Palliat Med.
2005;
8
716-729
MissingFormLabel
- 18
Mount B M.
Morphine drips, terminal sedation, and slow euthanasia: definitions and facts, not
anecdotes.
J Palliat Care.
1996;
12
31-37
MissingFormLabel
- 19 Papers of the International Sedation Consensus Group .EAPC Discussion Forum. http://www.eapcnet.org/forum/
MissingFormLabel
- 20
Quill T E, Byock I R.
Responding to intractable terminal suffering: the role of terminal sedation and voluntary
refusal of food and fluids.
Ann Inter Med.
2000;
132
408-414
MissingFormLabel
- 21
Quill T E, Lo B, Brock D W.
Palliative options of last resort: a comparison of voluntarily stopping eating and
drinking, terminal sedation, physician-assisted suicide and voluntary active euthanasia.
JAMA.
1997;
278
2099-2104
MissingFormLabel
- 22
Rousseau P.
Existential suffering and palliative sedation: A brief commentary with a proposal
for clinical guidelines.
Am J Hosp Palliat Care.
2001;
18
151-153
MissingFormLabel
- 23
Rousseau P.
The ethical validity and clinical experience of palliative sedation.
Mayo Clin Proc.
2000;
75
1064-1069
MissingFormLabel
- 24 Royal Dutch Medical Association .National guideline for palliative sedation. Utrecht, The Netherlands: Royal Dutch Medical Association 2005
MissingFormLabel
- 25
Schuman Z D, Lynch M, Abrahm J L.
Implementing institutional change: an institutional case study of palliative sedation.
J Palliat Med.
2005;
8
666-676
MissingFormLabel
- 26
Wein S.
Sedation in the imminently dying patient.
Oncology.
2000;
14
585-591
MissingFormLabel
1 *Anmerkung: Die Expertengruppe bestand (in Ergänzung zu den Autoren dieses Artikels) aus folgenden Personen: M. Benamou (Unité de Soins Palliatifs, Hôpital Joffre-Dupuytren, Draveil, France), M. van den Beuken-van Everdingen (Department of Internal Medicine, University Hospital, Maastricht, The Netherlands), D. Bridge (Royal Perth Hospital, Perth, Australia), D. Cameron (Department of Family Medicine, University of Pretoria, South Africa), N. Cherny (Department of Medical Oncology and Palliative Medicine, Shaare Zedek Medical Center, Jerusalem, Israel), M. Dean (Palliative Care Department, Western Memorial Regional Hospital, Corner Brook, Newfoundland and Labrador, Canada ) J. Eisenchlas (Palliative Care Service, Pallium Latinoamerica and Hospital Bonorino Udaondo, Buenos Aires, Argentina), H. Goldman-Pike (Fernlea House Day Hospice, Melbourne, Australia), A. de Graeff (Department of Medical Oncology, University Medical Centre, Utrecht, The Netherland), K. E. Groves (West Lancs, Southport & Formby Palliative Care Services, United Kingdom), F. van Heest (Odoornerveen, The Netherlands), K. L. Lum (Cranford Hospice, Hawkes Bay, New Zealand), J. Menten (University Hospital Gasthuisberg, Leuven, Belgium), C. Miller (New Zealand), T. Morita (Department of Palliative and Supportive Care, Seirei Hospice, Seirei Mikatahara General Hospital, Shizuoka, Japan), C. Pakarinen (Finland), T.E. Quinn (Massachusetts General Hospital, Boston, Massachusetts, USA), C. Regnard (St. Oswald’s Hospice, Newcastle, United Kingdom), P. Rousseau (VA Medical Center and RTA Hospice, Phoenix, Arizona, United States), Y. Singer (Negev Palliative Care Unit, Israel), A. Thorns (Pilgrims Hospices, East Kent NHS Trust, University of Kent, Margate, Kent, United Kingdom), R. Tsuneto (Osaka University, Osaka, Japan), R. Wade (West Suffolk Hospital, Bury St Edmonds, Suffolk, United Kingdom), M. van de Watering (Hospice Bardo, Haarlem, The Netherlands), A. Wilcock (Hayward House Macmillan Specialist Palliative Care Cancer Unit, Nottingham City Hospital, Nottingham, United Kingdom).
Prof. Dr. med. H. Christof Müller-Busch
Abt. f. Anästhesiologie, Palliativmedizin und Schmerztherapie am Gemeinschaftskrankenhaus
Havelhöhe
Kladower Damm 221
14089 Berlin
Phone: +49/30/36501160
Fax: +49/30/36501161
Email: muebu@havelhoehe.de