The Evolving and Important Role of Anesthesiology in Palliative Care
A small but clinically significant proportion of dying patients experience severe physically or psychologically distressing symptoms that are refractory to the usual first-line therapies. Anesthesiologists, currently poorly represented in the rapidly evolving specialties of hospice and palliative me...
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| Veröffentlicht in: | Anesthesia and analgesia 2005-01, Vol.100 (1), p.183-188 |
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| container_title | Anesthesia and analgesia |
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| creator | Fine, Perry G. |
| description | A small but clinically significant proportion of dying patients experience severe physically or psychologically distressing symptoms that are refractory to the usual first-line therapies. Anesthesiologists, currently poorly represented in the rapidly evolving specialties of hospice and palliative medicine, are uniquely qualified to contribute to the comprehensive care of patients who are in this category. Anesthesiologists’ interpersonal capabilities in the management of patients and families under duress, their knowledge and comfort level with the application of potent analgesic and consciousness-altering pharmacology, and their titrating and monitoring skills would add a valuable dimension to palliative care teams. This article summarizes the state of the art and means by which anesthesiologists might contribute to improvements in the important end-of-life outcome of safe and comfortable dying. |
| doi_str_mv | 10.1213/01.ANE.0000141061.74294.DE |
| format | Article |
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Anesthesiologists, currently poorly represented in the rapidly evolving specialties of hospice and palliative medicine, are uniquely qualified to contribute to the comprehensive care of patients who are in this category. Anesthesiologists’ interpersonal capabilities in the management of patients and families under duress, their knowledge and comfort level with the application of potent analgesic and consciousness-altering pharmacology, and their titrating and monitoring skills would add a valuable dimension to palliative care teams. This article summarizes the state of the art and means by which anesthesiologists might contribute to improvements in the important end-of-life outcome of safe and comfortable dying.</description><subject>Adenocarcinoma - complications</subject><subject>Adult</subject><subject>Amyotrophic Lateral Sclerosis - complications</subject><subject>Amyotrophic Lateral Sclerosis - psychology</subject><subject>Analgesia</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesiology - trends</subject><subject>Biological and medical sciences</subject><subject>Fatigue - physiopathology</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Hospices</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain, Intractable - etiology</subject><subject>Pain, Intractable - psychology</subject><subject>Pain, Intractable - therapy</subject><subject>Palliative Care - psychology</subject><subject>Palliative Care - trends</subject><subject>Uterine Cervical Neoplasms - complications</subject><issn>0003-2999</issn><issn>1526-7598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkU1PGzEQhi3UCsLHX0BWpXLbxZ_jdW9RsgUk1FYIzpaz6yVLnXVqb4L493VIpMxlLs87M3oGoW-UlJRRfktoOf1VlyQXFZQALZVgWpTz-gRNqGRQKKmrL2iSAV4wrfUZOk_pbceTCk7RGZVAgSg5QfPnpcP1NvhtP7xiO7T4YbUOcbTDiJ-Cdzh0eDq4NC5d6oMPrx-4H_Af631vx37r8MxGd4m-dtYnd3XoF-jlZ_08uy8ef989zKaPRSMpEYUE0Ew0oq0Yt7JlVUehkwvCbSWktUpDozlTDUhQLXAKeqEqxaCtKHWCC36BbvZz1zH82-SjzKpPjfPeDi5skgHFBQGoMvhjDzYxpBRdZ9axX9n4YSgxO4eGUJMdmqND8-nQzOscvj5s2SxWrj1GD9Iy8P0A2NRY30U7NH06ciCACU4yJ_bce_Cji-mv37y7aJbO-nH5uZpIrguWW34MIcXuX4L_B6P5h0s</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Fine, Perry G.</creator><general>International Anesthesia Research Society</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050101</creationdate><title>The Evolving and Important Role of Anesthesiology in Palliative Care</title><author>Fine, Perry G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5104-566924c4d823a5d28f16f5b03a845aa796c9327c6567d63169b78726d811e4343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adenocarcinoma - complications</topic><topic>Adult</topic><topic>Amyotrophic Lateral Sclerosis - complications</topic><topic>Amyotrophic Lateral Sclerosis - psychology</topic><topic>Analgesia</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesiology - trends</topic><topic>Biological and medical sciences</topic><topic>Fatigue - physiopathology</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Hospices</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain, Intractable - etiology</topic><topic>Pain, Intractable - psychology</topic><topic>Pain, Intractable - therapy</topic><topic>Palliative Care - psychology</topic><topic>Palliative Care - trends</topic><topic>Uterine Cervical Neoplasms - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fine, Perry G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fine, Perry G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Evolving and Important Role of Anesthesiology in Palliative Care</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>100</volume><issue>1</issue><spage>183</spage><epage>188</epage><pages>183-188</pages><issn>0003-2999</issn><eissn>1526-7598</eissn><coden>AACRAT</coden><abstract>A small but clinically significant proportion of dying patients experience severe physically or psychologically distressing symptoms that are refractory to the usual first-line therapies. Anesthesiologists, currently poorly represented in the rapidly evolving specialties of hospice and palliative medicine, are uniquely qualified to contribute to the comprehensive care of patients who are in this category. Anesthesiologists’ interpersonal capabilities in the management of patients and families under duress, their knowledge and comfort level with the application of potent analgesic and consciousness-altering pharmacology, and their titrating and monitoring skills would add a valuable dimension to palliative care teams. This article summarizes the state of the art and means by which anesthesiologists might contribute to improvements in the important end-of-life outcome of safe and comfortable dying.</abstract><cop>Hagerstown, MD</cop><pub>International Anesthesia Research Society</pub><pmid>15616075</pmid><doi>10.1213/01.ANE.0000141061.74294.DE</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 0003-2999 1526-7598 |
| language | eng |
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| source | MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adenocarcinoma - complications Adult Amyotrophic Lateral Sclerosis - complications Amyotrophic Lateral Sclerosis - psychology Analgesia Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesiology - trends Biological and medical sciences Fatigue - physiopathology Fatigue - psychology Female Hospices Humans Male Medical sciences Middle Aged Pain, Intractable - etiology Pain, Intractable - psychology Pain, Intractable - therapy Palliative Care - psychology Palliative Care - trends Uterine Cervical Neoplasms - complications |
| title | The Evolving and Important Role of Anesthesiology in Palliative Care |
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