Palliative care, Anesthesia and Intensive Medicine: On the brink for the metanoia?

Authors

  • João Pina Unidade de Cuidados Intensivos e Intermédios Polivalente, Hospital do Santo Espírito da Ilha Terceira, Angra do Heroísmo, Portugal. Doutorando do Programa de Doutoramento em Bioética, Instituto de Bioética, Universidade Católica Portuguesa, Rua Diogo Botelho, 1327, 4169-005 Porto, Portugal

DOI:

https://doi.org/10.25751/rspa.17318

Keywords:

Intensive Care Units; Palliative Care

Abstract

Looking at what is happening with Medicine in Portugal and a little around the world, few topics could, at this time, give me more satisfaction than this one. Not because I feel a particular joy or pleasure, but because it seems urgent to me to reflect on what emerges from it. It is, in my view, a cycle that closes when something
comes up and finds something that was on hold. Which is as it says, the ends touch. Where does Medicine go? Are the technological and scientific advances that seduce us and pride us to serve Man better?
Are we proposing to provide Palliative Care (CP) in the Intensive Care Unit (ICU)? Can we "untie" this oxymoron? Can anesthesiology have its own role in this ontologically challenging scenario? Or are we, after
all, witnessing a reassuring meeting of Medicine with herself?

Downloads

Download data is not yet available.

References

1. Wiesel, Elie. The Perils of Indifference. Speech delivered 12 April 1999, Washington.[consultado Jan 2018] Disponivel em: https://www.americanrhetoric.com/speeches/ewieselperilsofindifference.html e em:
https://www.youtube.com/watch?v=dTs0S5H87Cc

2. Dedeli O, Kapta G. Spirituality and Religion in Pain and Pain Management. Health Psychol Res. 2013 13: e29.

3. Wiech K, Farias M, Kahane G, Shackel N, Tiede W, Tracey I. An fMRI study measuring analgesia enhanced by religion as a belief system. Pain. 2008;139:467-76. doi: 10.1016/j.pain.2008.07.030.

4. Elmholdt EM, Skewes J, Dietz M, Møller A, Jensen MS, Roepstorff A,et al. Reduced pain sensation and reduced BOLD signal in parietofrontal networks during religious prayer. Front Hum Neurosci. 2017;11:337. doi: 10.3389/
fnhum.2017.00337.

5. Siddall PJ, Lovell M, MacLeod R. Spirituality: what is its role in pain medicine? Pain Med. 2015;16:51-60. doi: 10.1111/pme.12511.

6. Carta de Beethoven a Emilie. [consultado Jan 2018] Disponivel em:https://www.brainpickings.org/2017/05/18/beethoven-emilie-letter/

7. Rebecca A, Cheng J, Vollenweider D, Galusca D, Smith TJ, Pronovost PJ. Evidence-based palliative care in the intensive care unit: a systematic review of interventions. J Palliat Med. 2014;17:219-35. doi: 10.1089/jpm.2013.0409.

8. Sepulveda C, Marlin A, Yoshida T, Ullrich A. Palliative care: the World Health Organization’s global perspective. J Pain Symptom Manage. 2002;24:91–6.

9. Lassen CL, Aberle S, Lindenberg N, Bundscherer A, Klier TW, Graf BMet al. Palliative patients under anaesthesiological care: a single-centre retrospective study on incidence, demographics and outcome. BMC Anesthesiol. 2015;15:164. doi: 10.1186/s12871-015-0143-4.

10. Wiese CH, Bartels UE, Zausig YA, Graf BM, Hanekop GG. Palliativmedizin: Fünfte Säule anästhesiologischer Abteilungen? Der Anaesthesist, March 2009, Volume 58, Issue 3, pp 218–230 https://link.springer.com/article/10.1007%2Fs00101-009-1543-y

11. Romano AM, Gade KE, Nielsen G, Harvard R, Harrison JH, Barclay J,et al. Early palliative care reduces end-of-life intensive care unit (ICU) use but not icu course in patients with advanced cancer. Oncologist. 2017;22:318-23. doi: 10.1634/theoncologist.2016-0227.

12. Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, et al. Early palliative care for patients with metastatic non-small cell lung cancer. N Engl J Med. 2010;363:733–42 doi: 10.1056/NEJMoa1000678

13. Mercadante S, Gregoretti C, Cortegiani A. Palliative care in intensive care units: why, where, what, who, when, how. BMC Anesthesiol. 2018;18:106. doi: 10.1186/s12871-018-0574-9.

Downloads

Published

2019-04-02

How to Cite

Pina, J. (2019). Palliative care, Anesthesia and Intensive Medicine: On the brink for the metanoia?. Journal of the Portuguese Society of Anesthesiology, 28(1), 48–52. https://doi.org/10.25751/rspa.17318

Issue

Vol. 28 No. 1 (2019): Revista da Sociedade Portuguesa de Anestesiologia

Section

Perspective

License

Articles are freely available to be read, downloaded and shared from the time of publication.

The RSPA reserves the right to commercialize the article as an integral part of the journal (in the preparation of reprints, for example). The author should accompany the submission letter with a declaration of copyright transfer for commercial purposes.

Articles are published under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC).

After publication in RSPA, authors are allowed to make their articles available in repositories of their home institutions, as long as they always mention where they were published.

Most read articles by the same author(s)

1 2 > >>