Time-limited trials (TLT) in the intensive care unit : Recommendations from the ethics section of the DIVI and the ethics section of the DGIIN

The rise in intensive care treatment procedures is accompanied by an increase in the complexity of decisions regarding the selection, administration and duration of treatment measures. Whether a treatment goal is desirable in an individual case and the treatment plan required to achieve it is accept...

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Published in:Medizinische Klinik, Intensivmedizin und Notfallmedizin Intensivmedizin und Notfallmedizin, 2024-05, Vol.119 (4), p.291-295
Main Authors: Jöbges, Susanne, Seidlein, Anna-Henrikje, Knochel, Kathrin, Michalsen, Andrej, Duttge, Gunnar, Supady, Alexander, Dutzmann, Jochen, Meier, Stefan, Barndt, Iris, Neitzke, Gerald, Nauck, Friedemann, Rogge, Annette, Janssens, Uwe
Format: Article
Language:ger
Subjects:
Critical Care - ethics
Germany
Humans
Intensive Care Units - ethics
Interdisciplinary Communication
Intersectoral Collaboration
Medical Futility - ethics
Medical Futility - legislation & jurisprudence
Patient Preference
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Summary:The rise in intensive care treatment procedures is accompanied by an increase in the complexity of decisions regarding the selection, administration and duration of treatment measures. Whether a treatment goal is desirable in an individual case and the treatment plan required to achieve it is acceptable for the patient depends on the patient's preferences, values and life plans. There is often uncertainty as to whether a patient-centered treatment goal can be achieved. The use of a time-limited treatment trial (TLT) as a binding agreement between the intensive care unit (ICU) team and the patient or their legal representative on a treatment concept over a defined period of time in the ICU can be helpful to reduce uncertainties and to ensure the continuation of intensive care measures in the patients' best interest.
ISSN:2193-6226
DOI:10.1007/s00063-024-01112-4