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Das Rahmenwerk zur palliativen Sedierung der Europ\u00e4ischen Gesellschaft f\u00fcr Palliativmedizin (European Association for Palliative Care [EAPC]) von 2009 wurde vor Kurzem aktualisiert. In Deutschland wurden von der SedPall-Forschungsgruppe ebenfalls Empfehlungen formuliert. Der vorliegende Beitrag beschreibt die soziale und ethische Komplexit\u00e4t der Entscheidungsfindung und fasst die Empfehlungen zusammen. Die Autonomie des Patienten wird hervorgehoben. Die Bestimmung der Refrakt\u00e4rit\u00e4t des Leids soll gemeinsam von Arzt und Patient vorgenommen werden. Die Sedierung soll proportional erfolgen, das hei\u00dft, ihre Form und Dauer werden an die individuelle Situation des Patienten angepasst. Die Entscheidungen zur palliativen Sedierung und zur Hydratation sollen getrennt erfolgen. Midazolam gilt als Medikament der ersten Wahl. Besondere Aufmerksamkeit ist den Angeh\u00f6rigen und dem Behandlungsteam zu widmen.<\/jats:p>","DOI":"10.1007\/s00482-024-00825-x","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T09:04:12Z","timestamp":1726131852000},"page":"365-373","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Neue Empfehlungen zur palliativen Sedierung","New recommendations on palliative sedation"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6991-1767","authenticated-orcid":false,"given":"S\u00e9verine Marie","family":"Surges","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Brunsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Przyborek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgit","family":"Jaspers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Radbruch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"issue":"5","key":"825_CR1","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1016\/j.jpainsymman.2009.04.021","volume":"38","author":"HM Chochinov","year":"2009","unstructured":"Chochinov\u00a0HM et\u00a0al (2009) The landscape of distress in the terminally ill. 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Fach\u00e4rztin f\u00fcr Allgemeinmedizin, Palliativmedizin | Mitgliedschaften: Deutsche Gesellschaft f\u00fcr Palliativmedizin (DGP), Europ\u00e4ische Gesellschaft f\u00fcr Palliativmedizin (European Association for Palliative Care [EAPC]). <b>H.\u00a0Brunsch<\/b>: A.\u00a0Finanzielle Interessen: H.\u00a0Brunsch gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Wissenschaftlicher Mitarbeiter, Klinik f\u00fcr Palliativmedizin, Universit\u00e4tsklinikum Bonn. <b>M.\u00a0Przyborek<\/b>: A.\u00a0Finanzielle Interessen: M.\u00a0Przyborek gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Ober\u00e4rztin der Klinik f\u00fcr Palliativmedizin, Universit\u00e4tsklinikum Bonn; Fach\u00e4rztin f\u00fcr Innere Medizin, H\u00e4matologie und Onkologie, Palliativmedizin. <b>B.\u00a0Jaspers<\/b>: A.\u00a0Finanzielle Interessen: Wissenschaftliche Arbeitstage Deutsche Gesellschaft f\u00fcr Palliativmedizin G\u00f6ttingen 2023, Referentin, Reisekostenerstattung; 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