Implantable cardiac defibrillators and end-of-life care-Time for reflection, deliberation and debate?

Maria Sheehan, Phillip J. Newton, Paul Stobie, Patricia M Davidson

Research output: Contribution to journalArticle

Abstract

Heart failure (HF) is a common condition associated with high rates of morbidity and mortality. Implantable cardiac defibrillators (ICDs) are an important management strategy in HF management and decrease mortality for both primary and secondary prevention. An emerging body of literature identifies the challenges of managing ICDs at the end of life. This report discusses a critical incident experienced by a HF team in a referral centre and outlines the issues to be considered in advancing discussion and debate of managing ICDs at the end of life. Engaging in debate, discussion and consensus guidelines is likely to be crucial in minimising distress and burden for clinicians, patients and their families alike.

Original languageEnglish (US)
Pages (from-to)279-284
Number of pages6
JournalAustralian Critical Care
Volume24
Issue number4
DOIs
StatePublished - Nov 2011
Externally publishedYes

Fingerprint

Terminal Care
Implantable Defibrillators
Heart Failure
Mortality
Primary Prevention
Secondary Prevention
Consensus
Referral and Consultation
Guidelines
Morbidity

Keywords

  • Deactivation
  • End-of-life care
  • Heart failure
  • Implantable cardiac defibrillators

ASJC Scopus subject areas

  • Emergency
  • Critical Care

Cite this

Implantable cardiac defibrillators and end-of-life care-Time for reflection, deliberation and debate? / Sheehan, Maria; Newton, Phillip J.; Stobie, Paul; Davidson, Patricia M.

In: Australian Critical Care, Vol. 24, No. 4, 11.2011, p. 279-284.

Research output: Contribution to journalArticle

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