Immediate extubation vs delayed weaning at end-of-life; Anticoagulation for new-onset atrial fibrillation from sepsis; Lifesaving potential of decolonization for MDROs
I think that the spike of brain activity prior to death (which is fairly proven with near death studies) speaks to the need for opiates and speedy palliative extubation. Certainly if these patients become more alert just before death, they could experience pain and fear, as well as more pleasant emotions. Our job is to be sure that these patients don't suffer when their family makes a difficult decision to focus on comfort oriented care.
I think that the spike of brain activity prior to death (which is fairly proven with near death studies) speaks to the need for opiates and speedy palliative extubation. Certainly if these patients become more alert just before death, they could experience pain and fear, as well as more pleasant emotions. Our job is to be sure that these patients don't suffer when their family makes a difficult decision to focus on comfort oriented care.