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 journalArticlepeer-review

    551 Scopus citations


    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
    Pages (from-to)581-593
    Number of pages13
    JournalPalliative Medicine
    Issue number7
    StatePublished - 16 Nov 2009

    ASJC Scopus subject areas

    • Anesthesiology and Pain Medicine


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