Repercussões da Extubação Paliativa domiciliar em pacientes em fase final de vida . Uma scoping review

Abstract

Background: Palliative extubation is the withdrawal of invasive mechanical ventilation, which can be performed in a home setting with the aim of honoring the wishes of the patients and their family Objectives: This scoping review aims to evaluate the repercussions, benefits, and challenges of home-based palliative extubation in patients at the end-of-life.

Methodology: Search was conducted in the MEDLINE/Pubmed, Web of Science, Cochrane library databases, as well as in the gray literature from the Coordination for the Improvement of Higher Education Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES theses and dissertations catalogs and open-access scientific repositories from Portugal. The review was carried out only solely by the author of the article according to the pre-selected criteria. Results: 243 articles were retrieved, with no date restrictions, covering publications from 2006 to 2021. Of these, twelve were selected based on predetermined criteria, most of which were case reports, demonstrating that this is a scarcely studied topic. Several benefits of this approach were reported in all articles, despite the challenges associated with the house . Conclusion: Although less studied, the results indicate the relevance of the procedure, as it respects the care plans of those involved, especially when a well-trained healthcare team is present.