Palliative Care Unit, Montpied Hospital, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
Pulmonology Unit, Montpied Hospital, University Hospital of Clermont-Ferrand, 54 Rue Montalembert, BP69, 63003 Cedex 1, Clermont-Ferrand, France.
BMC Palliat Care. 2023 Mar 6;22(1):17. doi: 10.1186/s12904-023-01128-1.
We read with interest the letter by Twycross and al on our article recently published in BMC Palliative Care. The authors suggest that the term palliative sedation has been used inappropriately and they consider that in the situation described the sedation was a procedural one rather than a continuous deep sedation. We strongly disagree with this point of view. In an end-of-life situation, the priorities are the patient's comfort, pain and anxiety. This type of sedation does not have the characteristics of procedural sedation described in anaesthesia. The French Clayes Leonetti law makes it possible to clarify the intention of the sedation in end-of-life situations.
我们饶有兴趣地阅读了 Twycross 等人对我们最近发表在 BMC 姑息治疗杂志上的文章的来信。作者认为，姑息镇静这个术语被不恰当地使用了，他们认为在描述的情况下，镇静是一种程序性的镇静，而不是持续的深度镇静。我们强烈反对这一观点。在生命末期的情况下，首要任务是患者的舒适、疼痛和焦虑。这种镇静类型不具有麻醉中描述的程序性镇静的特征。法国的 Clayes Leonetti 法律使得在生命末期情况下澄清镇静的意图成为可能。
