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Table 3 Acceptable approaches of limiting intensive care

From: Decision-making at the limit of viability: differing perceptions and opinions between neonatal physicians and nurses

 

Total

Physicians

Nurses

p-value

German speaking area

French speaking area

p-value

Administering sedatives and/or analgesics to suppress pain even if this might cause respiratory depression and death

95.1 (92.4–96.8)

96.8 (91.0–98.9)

94.5 (91.2–96.6)

0.367

94.9 (91.5–96.9)

95.5 (90.0–98.1)

0.779

Withholding emergency treatment/manoeuvres

94.9 (92.2–96.6)

100.0 (96.1–100.0)

93.2 (89.7–95.6)

0.009

93.9 (90.4–96.1)

97.3 (92.4–99.1)

0.162

Withholding surgery

94.0 (91.1–96.0)

100.0 (96.0–100.0)

92.0 (88.3–94.6)

0.005

93.0 (89.3–95.5)

96.4 (91.1–98.6)

0.204

Withdrawing life-saving drugs

93.5 (90.6–95.6)

97.9 (92.6–99.4)

92.1 (88.4–94.7)

0.048

93.5 (89.9–95.8)

93.6 (87.3–96.9)

0.965

Withdrawing mechanical ventilation

91.2 (87.9–93.6)

97.8 (92.4–99.4)

89.1 (85.0–92.2)

0.010

90.9 (86.9–93.7)

91.9 (85.3–95.7)

0.751

Continuing current treatment, but without adding others

89.6 (86.1–92.3)

98.9 (93.9–99.8)

86.7 (82.3–90.2)

0.001

87.5 (83.0–91.0)

94.6 (88.7–97.5)

0.040

Withholding intensive care

87.4 (83.7–90.4)

100.0 (96.1–100.0)

83.3 (78.6–87.2)

< 0.001

84.6 (79.9–88.4)

94.5 (88.5–97.5)

0.009

Withholding antibiotics

70.6 (65.8–75.0)

80.4 (71.2–87.3)

67.4 (61.7–72.6)

0.017

69.8 (64.0–75.0)

72.6 (63.5–80.2)

0.589

Refraining from increasing the respirator parameters

69.7 (64.9–74.1)

80.2 (70.9–87.1)

66.3 (60.6–71.6)

0.012

66.2 (60.2–71.6)

78.2 (69.6–84.9)

0.021

Withholding full parenteral nutrition

55.9 (50.7–60.9)

75.0 (65.3–82.7)

49.5 (43.6–55.3)

< 0.001

54.4 (48.3–60.3)

59.4 (49.9–68.3)

0.380

Withholding tube feeding

31.9 (27.3–36.8)

45.2 (35.0–55.9)

27.9 (22.9–33.4)

0.003

33.6 (28.1–39.5)

27.5 (19.7–36.8)

0.260

Administering drugs with the explicit purpose to hasten death

24.4 (20.2–29.2)

18.2 (11.5–27.5)

26.5 (21.5–32.2)

0.115

22.1 (17.5–27.6)

30.5 (22.2–40.4)

0.105

Administering drugs with the purpose of ending the patient’s life

16.9 (13.4–21.2)

14.0 (8.2–22.8)

17.9 (13.8–22.9)

0.395

15.1 (11.3–20.0)

21.9 (14.8–31.1)

0.132

  1. Answers to the question: “Which of the following approaches would you consider an acceptable way of limiting intensive care in selected circumstances?”. Percentages of respondents who answered “acceptable” with 95% confidence intervals are shown. Answers are listed in decreasing acceptance. Total n = 396