Desfibriladores automáticos implantables y su desactivación, una conversación necesaria. Revisión de la literatura y propuesta multidisciplinaria

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dc.catalogadorpau
dc.contributor.authorCerda, Tomás
dc.contributor.authorCrispino, Luciana
dc.contributor.authorParedes, Alejandro
dc.date.accessioned2024-11-25T16:35:32Z
dc.date.available2024-11-25T16:35:32Z
dc.date.issued2023
dc.description.abstract© 2023 Sociedad Medica de Santiago. All rights reserved. The use of implantable cardioverter-defibrillators (ICDs) has been on the rise. Patients using ICDs inevitably transit towards the end of life at some point, including some who develop terminal illnesses. In this context, it is relevant to discuss and evaluate the deactivation of these devices with the aim of addressing patients' comfort and avoiding shocks during the end-of-life phase. There are multiple communicational and operational barriers when considering ICDs deactivation. Firstly, many patients have not discussed this issue with their physicians despite international guidelines recommending such discussions before device installation. Secondly, there is a significant lack of knowledge among patients, family members, and even doctors about the benefits of ICDs, as well as the deactivation process and ethics considerations, which leads them to believe that immediate death will occur, considering it as euthanasia or assisted suicide. Finally, the management of hospice patients or end-of-life ICDs users is poorly standardized, with low rates of deactivation, resulting in shocks in the last minutes of life, which can cause marked distress to patients and families. It is necessary to address these barriers and discuss these issues with patients to inform and educate them about the functioning of their devices, with the ultimate goal of enabling informed and shared decision-making for patient well-being.
dc.fechaingreso.objetodigital2024-11-25
dc.format.extent7 páginas
dc.fuente.origenSCOPUS
dc.identifier.doi10.4067/s0034-98872023001001399
dc.identifier.issn0717-6163
dc.identifier.scopusidSCOPUS_ID:85200424657
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88672
dc.information.autorucEscuela de Medicina; Cerda, Tomás; S/I; 234443
dc.information.autorucEscuela de Medicina; Crispino, Luciana; S/I; 1014901
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final1405
dc.pagina.inicio1399
dc.publisherSociedad Medica de Santiago
dc.revistaRevista Medica de Chile
dc.rightsacceso abierto
dc.subjectPalliative Care
dc.subjectPalliative Medicine
dc.subjectDefibrillators
dc.subjectImplantable
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleDesfibriladores automáticos implantables y su desactivación, una conversación necesaria. Revisión de la literatura y propuesta multidisciplinaria
dc.title.alternativeImplantable automatic defibrillators and their deactivation, a necessary conversation. Literature review
dc.typeartículo
dc.volumen151
sipa.codpersvinculados234443
sipa.codpersvinculados1014901
sipa.trazabilidadSCOPUS;2024-08-25
sipa.trazabilidadORCID;2024-11-18
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