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首页> 外文期刊>Current opinion in anaesthesiology >Physician aid-in-dying: Cautionary words
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Physician aid-in-dying: Cautionary words

机译：濒危医生：警告词

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PURPOSE OF REVIEW: Physician-assisted suicide (PAS) and euthanasia have been increasingly discussed in end-of-life care, as PAS and euthanasia have now been legalized in three European countries and PAS has been legalized in Washington, Oregon, and Montana in the USA. This review focuses on some aspects of PAS and euthanasia and discusses deep terminal sedation (DTS), which is increasingly used to treat intractable symptoms at the end of life. RECENT FINDINGS: PAS and euthanasia present potential risks for vulnerable populations, such as the depressed and disabled. The Oregon experience does not allow specific analysis regarding disabled patients, but fewer psychiatric consultations are being done to evaluate patients for depression. In the Netherlands, a small number of patients undergo euthanasia without an explicit request. Twenty percent of cases go unreported, raising questions of whether they met legal standards. The use of DTS in all countries has increased, but in a significant number of cases, DTS is used with an explicit intent to hasten death. Double-effect arguments to justify DTS may not actually apply. SUMMARY: Caution is warranted regarding PAS and euthanasia, as vulnerable patients may still be at risk. More research is needed to characterize the use (and misuse) of DTS.
机译：审查目的：在生命终结护理中，越来越多地讨论了医师辅助自杀（PAS）和安乐死，因为PAS和安乐死现已在三个欧洲国家合法化，而PAS已在华盛顿，俄勒冈和蒙大拿州合法化。美国。这篇综述着重于PAS和安乐死的某些方面，并讨论了深部末期镇静（DTS），后者越来越多地用于治疗生命末期的顽固性症状。最近的发现：PAS和安乐死给弱势群体（如抑郁症和残疾人）带来了潜在的风险。俄勒冈州的经验不允许对残疾患者进行具体分析，但是很少进行精神科咨询以评估患者的抑郁状况。在荷兰，有少量患者未经明确要求就实施了安乐死。 20％的案件未举报，引发了有关它们是否符合法律标准的疑问。在所有国家中，DTS的使用都在增加，但是在很多情况下，DTS的使用是为了加速死亡。证明DTS合理的双重效果参数可能实际上并不适用。简介：由于PAS和安乐死可能仍处于危险之中，因此应谨慎行事。需要更多的研究来表征DTS的使用（和滥用）。

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