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End of Life Online Curriculum - Modules

 

Palliative Sedation

Respite Sedation

The concept of respite sedation involves sedating a patient for a predetermined interval, such as 24-48 hours, then downwardly titrating the sedative dose until consciousness reappears (Rousseau 2001).

With respite sedation, second-guessing and reassessment by clinicians and family members may be feasible (Rousseau 2001, 2000) (Quill 1997), but, more importantly, patients may break a cycle of anxiety and insomnia that precipitated the request for palliative sedation, abolishing the need for further sedation.

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©End of Life Curriculum Project, a joint project of the US Veterans Administration and SUMMIT, Stanford University Medical School.
Funded by a grant to the Veterans Administration Nationwide Palliative Care Network by the National Library of Medicine. VJ Periyakoil, MD, Director.