Survey of Palliative Sedation at End of Life in Terminally Ill Heart Failure Patients　― A Single-Center Experience of 5-Year Follow-up ―

Yasuhiro Hamatani; Eri Nakai; Emi Nakamura; Michi Miyata; Yukie Kawano; Yasuko Takada; Yuta Anchi; Sayaka Funabashi; Atsushi Hirayama; Kensuke Kuroda; Masashi Amano; Yasuo Sugano; Toshihisa Anzai; Chisato Izumi

doi:10.1253/circj.CJ-19-0125

Rapid Communications

Survey of Palliative Sedation at End of Life in Terminally Ill Heart Failure Patients　― A Single-Center Experience of 5-Year Follow-up ―

Yasuhiro Hamatani, Eri Nakai, Emi Nakamura, Michi Miyata, Yukie Kawano, Yasuko Takada, Yuta Anchi, Sayaka Funabashi, Atsushi Hirayama, Kensuke Kuroda, Masashi Amano, Yasuo Sugano, Toshihisa Anzai, Chisato Izumi

Author information

Yasuhiro Hamatani
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Eri Nakai
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Emi Nakamura
Department of Pharmacy, National Cerebral and Cardiovascular Center [Japan]
Michi Miyata
Department of Pharmacy, National Cerebral and Cardiovascular Center [Japan]
Yukie Kawano
Department of Nursing, National Cerebral and Cardiovascular Center [Japan]
Yasuko Takada
Department of Nursing, National Cerebral and Cardiovascular Center [Japan]
Yuta Anchi
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Sayaka Funabashi
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Atsushi Hirayama
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Kensuke Kuroda
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Masashi Amano
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Yasuo Sugano
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Toshihisa Anzai
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine [Japan]
Chisato Izumi
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center [Japan]

Keywords: Heart failure, Palliative care, Sedation

JOURNAL FREE ACCESS FULL-TEXT HTML

2019 Volume 83 Issue 7 Pages 1607-1611

DOI https://doi.org/10.1253/circj.CJ-19-0125

CORRIGENDUM (83-11 pp. 2389)

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Details

Abstract

Background:Little is known about palliative sedation in terminally ill heart failure (HF) patients.

Methods and Results:We retrospectively reviewed terminally ill HF patients who received palliative sedation from September 2013 to August 2018. Among 95 terminally ill HF patients, 25 were prescribed dexmedetomidine and 12 were prescribed midazolam at the end of life. Richmond Agitation-Sedation Scale was significantly reduced (P<0.01), but blood pressure and heart rate were unaltered after treatment in both the dexmedetomidine and midazolam groups.

Conclusions:Prescription of dexmedetomidine and/or midazolam might be feasible in selected terminally ill HF patients.

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