Family Physicians' Decision-making in Mechanical Ventilation Withdrawal: A Cross-sectional Study.
Objectives: In Thailand, family physicians play a central role in palliative care, which often includes the withdrawal of mechanical ventilation (WMV) as part of life-sustaining treatment cessation. However, the rationale behind these decisions varies significantly among practitioners. This study ex...
| Publicado en: | Indian Journal of Palliative Care Vol. 31; no. 4; pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Scientific Scholar LLC
Oct-Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190585220&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190585220 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09731075 166I jtl: Indian Journal of Palliative Care issn: 09731075 maglogo: N pubinfo: dt: Oct-Dec2025 vid: 31 iid: 4 pid: 56013 pub: Scientific Scholar LLC place: Pittsford, New York artinfo: ui: 190585220 190585220 190585220 10.25259/IJPC_333_2024 190585220 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Family Physicians' Decision-making in Mechanical Ventilation Withdrawal: A Cross-sectional Study. aug: au: Pankaew, Tunwarat Kanhasing, Ruankwan Wongpradit, Wadee affil: Department of Social Medicine, Medical Education Center Buddhasothorn Hospital, Chachoengsao, Thailand. sug: subj: Physicians, Family Decision Making, Clinical Respiration, Artificial Euthanasia, Passive Ventilator Weaning Terminally Ill Patients Psychosocial Factors Human Male Female Descriptive Research Cross Sectional Studies Consensus Palliative Care Odds Ratio Confidence Intervals Questionnaires Descriptive Statistics Logistic Regression Adult Adult: 19-44 years Male Female ab: Objectives: In Thailand, family physicians play a central role in palliative care, which often includes the withdrawal of mechanical ventilation (WMV) as part of life-sustaining treatment cessation. However, the rationale behind these decisions varies significantly among practitioners. This study examines key factors that influence Thai family physicians' decisions to discontinue mechanical ventilation for terminally ill patients. Materials and Methods: We conducted an online survey from December 2021 to January 2022, employing a customised questionnaire. Its content validity and reliability were affirmed, achieving Cronbach's alpha scores of 0.81 and 0.88 in separate sections. Results: Among 164 respondents, 123 (75%) had previously participated in WMV decisions. Key influencing factors included the involvement of family or surrogate decision-makers (SDMs), physicians' experience with end-of-life care and patients' explicit opposition to ventilator support. Urgent requests from families or SDMs and the imminence of patient mortality were also pivotal. A consensus on the ethical appropriateness of WMV was observed. Notably, physicians with over 3 years of experience in palliative care were significantly more likely to discontinue ventilation (odds ratio [OR] = 5.30; P = 0.001), a likelihood further increased by formal training in this area (OR = 8.97; P < 0.001). Conclusion: The decisions of Thai family physicians to cease mechanical ventilation in terminally ill patients are strongly influenced by family or SDMs' input, their own experiential background and the expressed wishes of the patients regarding ventilator assistance. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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