Assignment: International Consensus Conference

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Assignment: International Consensus Conference

Assignment: International Consensus Conference

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Finally, ACCM and ATS recommend further research to assess the use of various approaches to decision-making in the ICU. The use of decision aids, communication skills training, implementation of patient navigator or decision support counselor programs, and other interventions should be subjected to randomized controlled trials to assess efficacy. Considerations regarding the cost and time burdens should be weighed against

anticipated benefits from such interventions when determining which efforts to implement. n

Author disclosures are available with the text of this article at www.atsjournals.org.

Acknowledgment: The views expressed in this article represent the official position of the American College of Critical Care Medicine, the Society of Critical Care Medicine, and the American Thoracic Society. These views do not necessarily reflect the official policy or position of the U.S. Department of the Navy, U.S. Department of Defense, U.S. National Institutes of Health, U.S. Department of Veterans Affairs, U.S. Food and Drug Administration, or U.S. Government.

Alexander A. Kon, M.D. Naval Medical Center San Diego San Diego, California

and

University of California San Diego San Diego, California

Judy E. Davidson, D.N.P., R.N. University of California Health System San Diego, California

Wynne Morrison, M.D. Children’s Hospital of Philadelphia Philadelphia, Pennsylvania

Marion Danis, M.D. National Institutes of Health Bethesda, Maryland

Douglas B. White, M.D., M.A.S. University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania

References

1. Carlet J, Thijs LG, Antonelli M, Cassell J, Cox P, Hill N, Hinds C, Pimentel JM, Reinhart K, Thompson BT. Challenges in end-of-life care in the ICU: statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003. Intensive Care Med 2004;30:770–784.

2. Thompson BT, Cox PN, Antonelli M, Carlet JM, Cassell J, Hill NS, Hinds CJ, Pimentel JM, Reinhart K, Thijs LG; American Thoracic Society; European Respiratory Society; European Society of Intensive Care Medicine; Society of Critical Care Medicine; Sociètède Rèanimation de Langue Française. Challenges in end-of-life care in the ICU: statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003: executive summary. Crit Care Med 2004;32:1781–1784.

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