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News & Current Events (Articles Required)
Starving to death those with low prognosis - a Case in France.
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<blockquote data-quote="Quid est Veritas?" data-source="post: 73965503" data-attributes="member: 385144"><p>Sounds better than 'Starve him to death'.</p><p></p><p></p><p>Not true. It is better to use a specific formulation of mixed feeds, on occassion adding micronutrients, yes. But it is not required. This man has a working gut. In the old days, they merely blended normal food and stuck it down the nasogastric tube. Ideally, a dietician should work out his daily requirements and a continuous infusion run, with adjustment as needed - ideally though, we should all monitor our feeding as closely.</p><p></p><p>I see no clear difference here. The tubes are in place, you merely need to input feed. Granted, it may block, but they most likely placed a feeding Ileostomy in someone in such a state for so many years, so exceedingly unlikely.</p><p></p><p></p><p></p><p><a href="https://www-bbc-com.cdn.ampproject.org/v/s/www.bbc.com/news/amp/world-middle-east-48020481?amp_js_v=a2&amp_gsa=1&usqp=mq331AQA#aoh=15584199045493&amp_ct=1558419907101&csi=1&referrer=https%3A%2F%2Fwww.google.com&amp_tf=From%20%251%24s" target="_blank">UAE woman Munira Abdulla wakes up after 27 years in a coma - BBC News</a></p><p></p><p>She was a head injury in a long term state of low prognosis. The cases are quite comparable.</p><p></p><p></p><p>Based on what I read in that article and others, and on my background in ICU care, yes. Though not an Intensivist per se, I am an Anaesthetist, and have worked my fair share there. I haven't examined him myself, nor is the media very clear on what his GCS is, or which reflexes are absent or not, or how diffuse his brain injury is on imaging. Regardless, I see no reason why feeding need be withdrawn. This is not medically justified, I feel, but more for socio-economic reasons.</p></blockquote><p></p>
[QUOTE="Quid est Veritas?, post: 73965503, member: 385144"] Sounds better than 'Starve him to death'. Not true. It is better to use a specific formulation of mixed feeds, on occassion adding micronutrients, yes. But it is not required. This man has a working gut. In the old days, they merely blended normal food and stuck it down the nasogastric tube. Ideally, a dietician should work out his daily requirements and a continuous infusion run, with adjustment as needed - ideally though, we should all monitor our feeding as closely. I see no clear difference here. The tubes are in place, you merely need to input feed. Granted, it may block, but they most likely placed a feeding Ileostomy in someone in such a state for so many years, so exceedingly unlikely. [URL='https://www-bbc-com.cdn.ampproject.org/v/s/www.bbc.com/news/amp/world-middle-east-48020481?amp_js_v=a2&_gsa=1&usqp=mq331AQA#aoh=15584199045493&_ct=1558419907101&csi=1&referrer=https%3A%2F%2Fwww.google.com&_tf=From%20%251%24s']UAE woman Munira Abdulla wakes up after 27 years in a coma - BBC News[/URL] She was a head injury in a long term state of low prognosis. The cases are quite comparable. Based on what I read in that article and others, and on my background in ICU care, yes. Though not an Intensivist per se, I am an Anaesthetist, and have worked my fair share there. I haven't examined him myself, nor is the media very clear on what his GCS is, or which reflexes are absent or not, or how diffuse his brain injury is on imaging. Regardless, I see no reason why feeding need be withdrawn. This is not medically justified, I feel, but more for socio-economic reasons. [/QUOTE]
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Starving to death those with low prognosis - a Case in France.
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