Forum.
2. Literature review
We performed a MEDLINE search using the terms “Aims of sedation” or “use of sedatives or hypnotics” and “palliative care”, “terminal care” or “hospice care” (1995-2003).Thirty-two articles were identified and of these, twelve mentioned the aim or purpose of sedation. Taken together, these twelve articles affirm that the overall aim of sedation in palliative care is to reduce the level of consciousness of patients near death in order to relieve a diverse range of intolerable, refractory symptoms 1,5-14. Sedation for existential distress alone is used very infrequently9 but may be increasing.15.
Lack of clarity and consensus regarding the meaning of terms and the intent of sedation is a cause for concern and highlights the need for further research1,6,7.
Comments