Volume 26, Issue 52, November 2018
Filosofia e Medicina sobre Dor e Sofrimento
Sedação Paliativa, Perspetiva de Um Clínico
Palliative sedation does not have a universally accepted definition. It is used as a measure of last resort for the control of refractory symptoms in the last days of life. The ethical principles invoked in its use are those of double effect and proportionality. Its prevalence varies according to the place of care, type of study and country. The most frequent indications for its use are the control of dyspnea, delirium and pain. The recommended first line drug is midazolam. The studies performed do not diminish the survival of the patient. It is important that family support is maintained throughout the process. Several scientific societies and medical associations have defined guidelines that regulate their implementation.