Persona y Bioética 21 (2) (2017)

Respect for human life is central to medicine. In terminal patients, refractory symptoms are a niche of palliative sedation. This paper identi es, based on scienti c evidence, the survival in patients who received palliative sedation as compared to those who didn’t. We conducted a search for systematic reviews from 2000 to 2016, which were methodologically analyzed, and the results were then compared. For methodological reasons, meta-analysis could not be performed. It is concluded that terminal palliative sedation does not shorten patients’ lives. The implementation of the principle of double effect related to the possible shortening of life was reformulated; the unwanted evil is the loss of consciousness.
Keywords Eutanásia  Pacientes terminales  Terminal patients  calidad de vida  eutanasia  euthanasia  pacientes terminais  palliative sedation  qualidade de vida  quality of life  refractory symptoms  sedación paliativa  sedação paliativa  sintomas refratários  síntomas refractarios
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