Shaare Zedek Medical Center, Department of Oncology, Jerusalem, Israel.
Palliat Med. 2009 Oct;23(7):581-93. doi: 10.1177/0269216309107024.
The European Association for Palliative Care (EAPC) considers sedation to be an important and necessary therapy in the care of selected palliative care patients with otherwise refractory distress. Prudent application of this approach requires due caution and good clinical practice. Inattention to potential risks and problematic practices can lead to harmful and unethical practice which may undermine the credibility and reputation of responsible clinicians and institutions as well as the discipline of palliative medicine more generally. Procedural guidelines are helpful to educate medical providers, set standards for best practice, promote optimal care and convey the important message to staff, patients and families that palliative sedation is an accepted, ethical practice when used in appropriate situations. EAPC aims to facilitate the development of such guidelines by presenting a 10-point framework that is based on the pre-existing guidelines and literature and extensive peer review.
欧洲姑息治疗协会（EAPC）认为，在对某些有难治性痛苦的姑息治疗患者的治疗中，镇静是一种重要且必要的治疗方法。谨慎应用这种方法需要适当的谨慎和良好的临床实践。如果不注意潜在的风险和有问题的做法，可能会导致有害和不道德的做法，从而损害负责任的临床医生和机构的信誉和声誉，以及更广泛的姑息医学学科的信誉和声誉。程序指南有助于教育医疗服务提供者，为最佳实践设定标准，促进最佳护理，并向工作人员、患者和家属传达重要信息，即当在适当的情况下使用姑息性镇静时，它是一种被接受的、合乎伦理的做法。EAPC 的目标是通过提出一个基于现有指南和文献以及广泛同行评审的 10 点框架来促进这些指南的制定。
