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 Shvartzman; Jim 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

doi:10.1177/0269216309107024

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

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Abstract

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 language	English
Pages (from-to)	581-593
Number of pages	13
Journal	Palliative Medicine
Volume	23
Issue number	7
DOIs	https://doi.org/10.1177/0269216309107024
State	Published - 1 Jan 2009

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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Cherny, N. I., Radbruch, L., Chasen, M., Coyle, N., Charles, D., Dean, M., Derby, S., Fallon, M., Ferrel, B., Ferris, F., Kirk, T., Lacy, J., Lie, R., Lieber, S., Loprinzi, C., Oberman, A., Rosengarten, O., Regnard, C., Sella, G. B., ... DeConno, F. (2009). European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care. Palliative Medicine, 23(7), 581-593. https://doi.org/10.1177/0269216309107024

@article{cd11f46d2a2a476198213871cc1569e3,

title = "European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care",

abstract = "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.",

author = "Cherny, {Nathan I.} and Lukas Radbruch and Martin Chasen and Nessa Coyle and Daniel Charles and Mervyn Dean and Susan Derby and Marie Fallon and Betty Ferrel and Frank Ferris and Timothy Kirk and Judith Lacy and Reidar Lie and Sara Lieber and Charles Loprinzi and Amitai Oberman and Ora Rosengarten and Claud Regnard and Sella, {Gil Bar} and Pesach Shvartzman and Jim Shalom and Charles Sprung and Florian Strasser and Christina Ullrich and {Von Gunten}, Charles and Augusto Caraceni and Michaela Berkovitch and Pam Firth and Katalin Hegedus and Maria Nabal and Sheila Payne and Andre Rhebergen and Esther Schmidlin and Per Sjogren and Carol Tishelman and Chantal Wood and Franco DeConno",

year = "2009",

month = jan,

day = "1",

doi = "10.1177/0269216309107024",

language = "English",

volume = "23",

pages = "581--593",

journal = "Palliative Medicine",

issn = "0269-2163",

publisher = "SAGE Publications Ltd",

number = "7",

}

Cherny, NI, Radbruch, L, Chasen, M, Coyle, N, Charles, D, Dean, M, Derby, S, Fallon, M, Ferrel, B, Ferris, F, Kirk, T, Lacy, J, Lie, R, Lieber, S, Loprinzi, C, Oberman, A, Rosengarten, O, Regnard, C, Sella, GB, Shvartzman, P, Shalom, J, Sprung, C, Strasser, F, Ullrich, C, Von Gunten, C, Caraceni, A, Berkovitch, M, Firth, P, Hegedus, K, Nabal, M, Payne, S, Rhebergen, A, Schmidlin, E, Sjogren, P, Tishelman, C, Wood, C & DeConno, F 2009, 'European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care', Palliative Medicine, vol. 23, no. 7, pp. 581-593. https://doi.org/10.1177/0269216309107024

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T1 - European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care

AU - Cherny, Nathan I.

AU - Radbruch, Lukas

AU - Chasen, Martin

AU - Coyle, Nessa

AU - Charles, Daniel

AU - Dean, Mervyn

AU - Derby, Susan

AU - Fallon, Marie

AU - Ferrel, Betty

AU - Ferris, Frank

AU - Kirk, Timothy

AU - Lacy, Judith

AU - Lie, Reidar

AU - Lieber, Sara

AU - Loprinzi, Charles

AU - Oberman, Amitai

AU - Rosengarten, Ora

AU - Regnard, Claud

AU - Sella, Gil Bar

AU - Shvartzman, Pesach

AU - Shalom, Jim

AU - Sprung, Charles

AU - Strasser, Florian

AU - Ullrich, Christina

AU - Von Gunten, Charles

AU - Caraceni, Augusto

AU - Berkovitch, Michaela

AU - Firth, Pam

AU - Hegedus, Katalin

AU - Nabal, Maria

AU - Payne, Sheila

AU - Rhebergen, Andre

AU - Schmidlin, Esther

AU - Sjogren, Per

AU - Tishelman, Carol

AU - Wood, Chantal

AU - DeConno, Franco

PY - 2009/1/1

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AB - 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.

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DO - 10.1177/0269216309107024

M3 - Article

AN - SCOPUS:71049128626

SN - 0269-2163

VL - 23

SP - 581

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JO - Palliative Medicine

JF - Palliative Medicine

IS - 7

ER -

European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care

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