The anesthesiologist facing terminality: a survey‐based observational study

Detalhes bibliográficos
Autor(a) principal: Cavalcante, Rodney Segura [UNESP]
Data de Publicação: 2020
Outros Autores: Barros, Guilherme Antonio Moreira de [UNESP], Ganem, Eliana Marisa [UNESP]
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.bjan.2020.03.008
http://hdl.handle.net/11449/200652
Resumo: Background and objectives: Advances in medicine, including anesthesiology and resuscitation, have made natural death increasingly rare. As a consequence, dysthanasia has become usual in a scenario for which there is not rationale. The present study aimed to assess the level of knowledge of Brazilian anesthesiologists on the principles of dysthanasia and orthothanasia. Thence, we studied the management preferences of these professionals, vis‐à‐vis those practices, as well as how medical school contributed to addressing death‐related issues. Method: Quantitative approach, prospective and descriptive cohort that included 150 anesthesiologists, members of the Brazilian Society of Anesthesiology, and who were invited to participate by email. An online questionnaire containing 38 questions was prepared by the authors. The study was approved by the Instructional Research Ethics Committee. Results: Anesthesiologists, although claiming to know dysthanasia and orthothanasia, mostly acquired knowledge outside medical school. If faced with their own end of care, or of a patient or a loved one, they prefer orthothanasia, to die at home, prioritizing dignity. However, the specialists claimed to have already practiced dysthanasia, even when orthothanasia was the choice management, which caused them negative feelings. Almost all respondents stated that they did not have practical training in undergraduate school on how to face end‐of‐life issues, although they felt capable of identifying it. Most were not aware of Federal Council of Medicine Resolution 1.805/06 that makes practicing orthothanasia feasible. Anesthesiologists’ religion or the political‐administrative region of residence had no effect on their preferences. Conclusions: Anesthesiologists claim to have knowledge on dysthanasia and orthothanasia, but prefer, in the face of a terminally ill patient, to practice orthothanasia, although dysthanasia is usual, and results in frustration and indignation. The medical school curriculum is unsatisfactory in addressing death‐related issues.
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spelling The anesthesiologist facing terminality: a survey‐based observational studyO anestesiologista frente à terminalidadeAnesthesiologyBioethicsDysthanasiaLegality (Law)Background and objectives: Advances in medicine, including anesthesiology and resuscitation, have made natural death increasingly rare. As a consequence, dysthanasia has become usual in a scenario for which there is not rationale. The present study aimed to assess the level of knowledge of Brazilian anesthesiologists on the principles of dysthanasia and orthothanasia. Thence, we studied the management preferences of these professionals, vis‐à‐vis those practices, as well as how medical school contributed to addressing death‐related issues. Method: Quantitative approach, prospective and descriptive cohort that included 150 anesthesiologists, members of the Brazilian Society of Anesthesiology, and who were invited to participate by email. An online questionnaire containing 38 questions was prepared by the authors. The study was approved by the Instructional Research Ethics Committee. Results: Anesthesiologists, although claiming to know dysthanasia and orthothanasia, mostly acquired knowledge outside medical school. If faced with their own end of care, or of a patient or a loved one, they prefer orthothanasia, to die at home, prioritizing dignity. However, the specialists claimed to have already practiced dysthanasia, even when orthothanasia was the choice management, which caused them negative feelings. Almost all respondents stated that they did not have practical training in undergraduate school on how to face end‐of‐life issues, although they felt capable of identifying it. Most were not aware of Federal Council of Medicine Resolution 1.805/06 that makes practicing orthothanasia feasible. Anesthesiologists’ religion or the political‐administrative region of residence had no effect on their preferences. Conclusions: Anesthesiologists claim to have knowledge on dysthanasia and orthothanasia, but prefer, in the face of a terminally ill patient, to practice orthothanasia, although dysthanasia is usual, and results in frustration and indignation. The medical school curriculum is unsatisfactory in addressing death‐related issues.Universidade Estadual Paulista (UNESP) Faculdade de Medicina Departamento de Anestesiologia Campus de BotucatuComissão de Medicina Paliativa da Sociedade Brasileira de AnestesiologiaSociedade Brasileira de AnestesiologiaUniversidade Estadual Paulista (UNESP) Faculdade de Medicina Departamento de Anestesiologia Campus de BotucatuUniversidade Estadual Paulista (Unesp)Comissão de Medicina Paliativa da Sociedade Brasileira de AnestesiologiaSociedade Brasileira de AnestesiologiaCavalcante, Rodney Segura [UNESP]Barros, Guilherme Antonio Moreira de [UNESP]Ganem, Eliana Marisa [UNESP]2020-12-12T02:12:26Z2020-12-12T02:12:26Z2020-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article225-232http://dx.doi.org/10.1016/j.bjan.2020.03.008Brazilian Journal of Anesthesiology, v. 70, n. 3, p. 225-232, 2020.1806-907X0034-7094http://hdl.handle.net/11449/20065210.1016/j.bjan.2020.03.0082-s2.0-85087026585Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporBrazilian Journal of Anesthesiologyinfo:eu-repo/semantics/openAccess2024-08-14T13:20:26Zoai:repositorio.unesp.br:11449/200652Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T13:20:26Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv The anesthesiologist facing terminality: a survey‐based observational study
O anestesiologista frente à terminalidade
title The anesthesiologist facing terminality: a survey‐based observational study
spellingShingle The anesthesiologist facing terminality: a survey‐based observational study
Cavalcante, Rodney Segura [UNESP]
Anesthesiology
Bioethics
Dysthanasia
Legality (Law)
title_short The anesthesiologist facing terminality: a survey‐based observational study
title_full The anesthesiologist facing terminality: a survey‐based observational study
title_fullStr The anesthesiologist facing terminality: a survey‐based observational study
title_full_unstemmed The anesthesiologist facing terminality: a survey‐based observational study
title_sort The anesthesiologist facing terminality: a survey‐based observational study
author Cavalcante, Rodney Segura [UNESP]
author_facet Cavalcante, Rodney Segura [UNESP]
Barros, Guilherme Antonio Moreira de [UNESP]
Ganem, Eliana Marisa [UNESP]
author_role author
author2 Barros, Guilherme Antonio Moreira de [UNESP]
Ganem, Eliana Marisa [UNESP]
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Comissão de Medicina Paliativa da Sociedade Brasileira de Anestesiologia
Sociedade Brasileira de Anestesiologia
dc.contributor.author.fl_str_mv Cavalcante, Rodney Segura [UNESP]
Barros, Guilherme Antonio Moreira de [UNESP]
Ganem, Eliana Marisa [UNESP]
dc.subject.por.fl_str_mv Anesthesiology
Bioethics
Dysthanasia
Legality (Law)
topic Anesthesiology
Bioethics
Dysthanasia
Legality (Law)
description Background and objectives: Advances in medicine, including anesthesiology and resuscitation, have made natural death increasingly rare. As a consequence, dysthanasia has become usual in a scenario for which there is not rationale. The present study aimed to assess the level of knowledge of Brazilian anesthesiologists on the principles of dysthanasia and orthothanasia. Thence, we studied the management preferences of these professionals, vis‐à‐vis those practices, as well as how medical school contributed to addressing death‐related issues. Method: Quantitative approach, prospective and descriptive cohort that included 150 anesthesiologists, members of the Brazilian Society of Anesthesiology, and who were invited to participate by email. An online questionnaire containing 38 questions was prepared by the authors. The study was approved by the Instructional Research Ethics Committee. Results: Anesthesiologists, although claiming to know dysthanasia and orthothanasia, mostly acquired knowledge outside medical school. If faced with their own end of care, or of a patient or a loved one, they prefer orthothanasia, to die at home, prioritizing dignity. However, the specialists claimed to have already practiced dysthanasia, even when orthothanasia was the choice management, which caused them negative feelings. Almost all respondents stated that they did not have practical training in undergraduate school on how to face end‐of‐life issues, although they felt capable of identifying it. Most were not aware of Federal Council of Medicine Resolution 1.805/06 that makes practicing orthothanasia feasible. Anesthesiologists’ religion or the political‐administrative region of residence had no effect on their preferences. Conclusions: Anesthesiologists claim to have knowledge on dysthanasia and orthothanasia, but prefer, in the face of a terminally ill patient, to practice orthothanasia, although dysthanasia is usual, and results in frustration and indignation. The medical school curriculum is unsatisfactory in addressing death‐related issues.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-12T02:12:26Z
2020-12-12T02:12:26Z
2020-05-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.bjan.2020.03.008
Brazilian Journal of Anesthesiology, v. 70, n. 3, p. 225-232, 2020.
1806-907X
0034-7094
http://hdl.handle.net/11449/200652
10.1016/j.bjan.2020.03.008
2-s2.0-85087026585
url http://dx.doi.org/10.1016/j.bjan.2020.03.008
http://hdl.handle.net/11449/200652
identifier_str_mv Brazilian Journal of Anesthesiology, v. 70, n. 3, p. 225-232, 2020.
1806-907X
0034-7094
10.1016/j.bjan.2020.03.008
2-s2.0-85087026585
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv Brazilian Journal of Anesthesiology
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 225-232
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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