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Title:Paliativna sedacija
Authors:Červek, Jožica (Author)
Language:Slovenian
Tipology:1.04 - Professional Article
Organisation:Logo OI - Institute of Oncology
Abstract:Paliativna sedacija je nadzorovana uporaba zdravil, ki povzročijo in ohranjajo stanje zmanjšane zavesti. V tem stanju bolnik ne trpi zaradi težav, ki jih ne moremo več obvladati (neobvladljiv simptom). Najpogostejša vzroka, da se odločimo za paliativno sedacijo, sta neobvladljiv terminalni nemir in težko dihanje. Midazolam je zdravilo izbora za paliativno sedacijo. Ustrezno dozo določimo s postopnim višanjem doze zdravila do želenega učinka-obvladanje simptoma (titracija). Paliativna sedacija po protokolu predpisuje jasno opredeljeno medicinsko indikacijo, vodenje in napotke za zdravstveno nego ter pravna in etična načela. Paliativna sedacija ni sinonim za evtanazijo in ne skrajšuje življenja.
Keywords:paliativna oskrba, sedacija, paliativna sedacija, zdravila
Year of publishing:2013
COBISS_ID:1681275 Link is opened in a new window
UDC:616-006-085
ISSN on article:1408-1741
OceCobissID:65324032 Link is opened in a new window
URN:URN:NBN:SI:doc-1NPS5UU0
Views:1402
Downloads:279
Files:.pdf PDF - Presentation file, download (290,52 KB)
 
Journal:Onkologija
Onkološki inštitut
 
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Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:31.08.2018

Secondary language

Language:English
Title:Palliative sedation
Abstract:Palliative sedation is the controlled use of medications intended to induce and maintain the state of reduced consciousness. In this state, the patient does not suffer from symptoms that we can no longer control (refractory symptoms). The most frequent reasons for palliative sedation are uncontrollable terminal anxiety and difficulty breathing. Midazolam is the medicine of choice for palliative sedation. The appropriate dose is determined by gradually increasing the initial dose until the desired effect – symptom control (titration) – is reached. The palliative sedation protocol sets out a clearly defined medical indication, the management and instructions for medical care as well as legal and ethical principles. Palliative sedation is not a synonym for euthanasia, nor does it shorten life.

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