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Research ArticleOriginal Contributions

Survey of Respiratory Therapists' Attitudes and Concerns Regarding Terminal Extubation

David C Willms and Jodette A Brewer
Respiratory Care August 2005, 50 (8) 1046-1049;
David C Willms
Pulmonary Department, Sharp Memorial Hospital, San Diego, California
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  • For correspondence: [email protected]
Jodette A Brewer
Pulmonary Department, Sharp Memorial Hospital, San Diego, California
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Abstract

BACKGROUND: There is little published information on the role of respiratory therapists in the process of withdrawal of mechanical ventilatory support.

METHODS: We surveyed practicing respiratory therapists at 6 acute-care hospitals in a large urban area and asked about particular concerns and attitudes regarding terminal extubation.

RESULTS: One hundred nineteen questionnaires were analyzed. The majority of respiratory therapists had participated in terminal extubation, but most were not regular participants in the decision-making process leading to withdrawal.

CONCLUSIONS: Practicing respiratory therapists expressed a desire for a role in the decisionmaking process, education regarding terminal care, and more definitive orders for terminal extubation.

  • palliative care
  • terminal care
  • respiratory therapy
  • withholding treatment
  • mechanical ventilators
  • intensive care
  • critical care
  • life support

Footnotes

  • Correspondence: David C Willms MD, Pulmonary Center, Sharp Memorial Hospital, 7901 Frost Street, San Diego CA 92123. E-mail: david.willms{at}sharp.com.
  • David C Willms MD presented a version of this report at the OPEN FORUM of the 49th International Respiratory Congress of the American Association for Respiratory Care, held December 8–11, 2003, in Las Vegas, Nevada.

  • Copyright © 2005 by Daedalus Enterprises Inc.
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Respiratory Care: 50 (8)
Respiratory Care
Vol. 50, Issue 8
1 Aug 2005
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Survey of Respiratory Therapists' Attitudes and Concerns Regarding Terminal Extubation
David C Willms, Jodette A Brewer
Respiratory Care Aug 2005, 50 (8) 1046-1049;

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Survey of Respiratory Therapists' Attitudes and Concerns Regarding Terminal Extubation
David C Willms, Jodette A Brewer
Respiratory Care Aug 2005, 50 (8) 1046-1049;
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Keywords

  • palliative care
  • terminal care
  • respiratory therapy
  • withholding treatment
  • mechanical ventilators
  • intensive care
  • critical care
  • life support

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