Palliative care and sedation. When is it suitable to sedate a patient and when is it covert euthanasia?

A proportional sedation of intense sufferings patients totally invalidates pro-euthanasia arguments In Italy, the mystery surrounding the circumstances of the death of Marina Ripa de Meana, multifaceted writer and Italian cinema and television celebrity, who died on 4 January at...

After a person’s heart stops, the cellular activity and brain waves may continue

“Within about 3 minutes,” lead author Jens Dreier, a professor at the Center for Stroke Research Berlin, wrote to Newsweek in an email, “the brain’s fuel reserves have become depleted.” When that happens, the mechanisms that brain cells use to keep ions separated, somethi...

Public opinion associates brain death with organ harvesting which could affect the credibility of brain death

“The medical community should improve understanding through consistent, simplified language, dissociating brain death from organ donation” and resolve the controversy about the different criterion of brain death. A recent study published by Elsevier – Science...

Consciousness in patients in a vegetative state. New diagnostic test open a new window to evaluate them

It opens a new window to help to evaluate patients with disorders of consciousness Determining whether a person in a vegetative state*  is essential for their treatment, recovery and quality of life. Until now, these diagnoses have centered on an analysis of the brain. However,...

Why is not palliative care included in WHO Universal Health Coverage (UHC) goals?

Universal Health Coverage (UHC) is a priority of the “Sustainable Development” objectives programmed until 2030 by WHO (see HERE). Aspects to cover include vaccinations, pre- and neonatal care, antiretroviral treatments and treatments for some serious diseases. They do not,...

An NHS investigation has been launched following 400 accidentally switch off oxygen with patients serious damages including several deaths

A safety alert has been issued after watchdogs uncovered more than 400 incidents in which cylinder controls were wrongly operated – including 24 cases where patients came to “moderate or severe harm”. The blunders saw six patients die, while five suffered cardiac arrest or...

Ethical debate. “Right to try laws” allow terminally ill patients access experimental treatments

The U.S Senate on easily passed legislation that aims to help terminally ill patients access experimental treatments (for example, stem cells therapies) under so-called “right to try” laws.  Now the full House will vote on it (STATS, January 8, 2017). The bill would establish...

Spiritual support may positively affect the quality of life for terminally-ill patients

Spiritual support may represent a crucial element in the medical care received by terminally-ill patients. An interesting article published in JAMA Intern Med (see HERE) describes a study wherein the authors evaluate the spiritual support for terminally-ill patients provided by...

Patient wakens after being in vegetative state for 15 years after receiving a treatment on nerve stimulation

A vegetative state new treatment has been successful It is said that after one year of unresponsive behavior, chances become very low.  Now a 35-year-old man who has remained in a vegetative state for 15 years is showing signs of consciousness after receiving a treatment based on...

UK Government announced “Everybody will be organ donor by law” which is provoking a large debate

“I would opt out because organ donation should be a present and not for the state to assume that they can take my organs without asking” Could measures who aims resolve the shortage of organs for transplant (see HERE) affect the end of life patients dignit...