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dc.creatorPerkin, R.M.en
dc.creatorResnik, D.B.en
dc.date.accessioned2016-01-09T00:19:46Zen
dc.date.available2016-01-09T00:19:46Zen
dc.date.created2002-06en
dc.date.issued2002-06en
dc.identifierdoi:10.1136/jme.28.3.164en
dc.identifier.bibliographicCitationJournal of Medical Ethics 2002 June; 28(3): 164-169en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=The+agony+of+agonal+respiration:+is+the+last+gasp+necessary?&title=Journal+of+Medical+Ethics+&volume=28&issue=3&spage=164-169&date=2002-06&au=Perkin,+R.M.;+Resnik,+D.B.en
dc.identifier.urihttp://dx.doi.org/10.1136/jme.28.3.164en
dc.identifier.urihttp://hdl.handle.net/10822/1010267en
dc.description.abstractGasping respiration in the dying patient is the last respiratory pattern prior to terminal apnoea. The duration of the gasping respiration phase varies; it may be as brief as one or two breaths to a prolonged period of gasping lasting minutes or even hours. Gasping respiration is very abnormal, easy to recognise and distinguish from other respiratory patterns and, in the dying patient who has elected to not be resuscitated, will always result in terminal apnoea. Gasping respiration is also referred to as agonal respiration and the name is appropriate because the gasping breaths appear uncomfortable and raise concern that the patient is suffering and in agony. Enough uncertainty exists about the influence of gasping respiration on patient wellbeing, that it is appropriate to assume that the gasping breaths are burdensome to patients. Therefore, gasping respiration at the end of life should be treated. We propose that there is an ethical basis, in rare circumstances, for the use of neuromuscular blockade to suppress prolonged episodes of agonal respiration in the well-sedated patient in order to allow a peaceful and comfortable death.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:246615en
dc.subjectDeathen
dc.subjectLifeen
dc.subjectPatientsen
dc.subjectSufferingen
dc.subjectUncertaintyen
dc.subject.classificationCare of the Dying Patienten
dc.subject.classificationProlongation of Life and Euthanasiaen
dc.titleThe Agony of Agonal Respiration: Is the Last Gasp Necessary?en
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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