Ethical issues in laryngology: Tracheal stenting as palliative care

Aasif A. Kazi, W. Jeffrey Flowers, Jeanna M. Barrett, Ashli K. O'Rourke, Gregory N Postma, Paul Maurice Weinberger

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives/Hypothesis To improve understanding of aspects of end-of-life care that may not be intuitive to the otolaryngology community. Data Sources and Review Methods A comprehensive review of the literature was performed by searching Medline, Embase, and Google Scholar databases. Primary manuscripts' bibliographies were reviewed to identify any nonindexed references. Prospective consultation by means of one-on-one interviews was sought from nonotolaryngology key stakeholders in the areas of hospice nursing care and patient advocacy in order to identify pertinent issues. Results We identified over 1,000 articles published from 1965 to 2013 on the topic of tracheal stents, as well as over 40,000 on hospice/end-of-life care. Three articles focusing specifically on palliative care and airway stenting were identified, of which three were case reports and none were definitive reviews. There are a number of significant issues and concepts unique to hospice care. These are likely unfamiliar to all except for head and neck oncology-specialized otolaryngologists. An example is that hospice care focuses on quality of life rather than prolongation of life (such as curative surgery). Patients with nonoperable tracheal obstruction from malignancy face an unpleasant demise from suffocation. For those patients, stenting can relieve suffering by restoring airway patency. Conclusions Airway stenting can be a valid palliative care option, even for terminal patients receiving hospice care, when performed to relieve airway obstruction and improve quality of life. End-of-life ethics is an underdeveloped area of otolaryngology that should be explored. Laryngoscope, 124:1663-1667, 2014

Original languageEnglish (US)
Pages (from-to)1663-1667
Number of pages5
JournalLaryngoscope
Volume124
Issue number7
DOIs
StatePublished - Jan 1 2014

Fingerprint

Hospice Care
Otolaryngology
Palliative Care
Ethics
Terminal Care
Hospice and Palliative Care Nursing
Quality of Life
Life Support Care
Patient Advocacy
Laryngoscopes
Hospices
Manuscripts
Information Storage and Retrieval
Asphyxia
Bibliography
Airway Obstruction
Nursing Care
Stents
Neck
Referral and Consultation

Keywords

  • Stenting
  • hospice care
  • medical ethics
  • tracheal obstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Kazi, A. A., Flowers, W. J., Barrett, J. M., O'Rourke, A. K., Postma, G. N., & Weinberger, P. M. (2014). Ethical issues in laryngology: Tracheal stenting as palliative care. Laryngoscope, 124(7), 1663-1667. https://doi.org/10.1002/lary.24531

Ethical issues in laryngology : Tracheal stenting as palliative care. / Kazi, Aasif A.; Flowers, W. Jeffrey; Barrett, Jeanna M.; O'Rourke, Ashli K.; Postma, Gregory N; Weinberger, Paul Maurice.

In: Laryngoscope, Vol. 124, No. 7, 01.01.2014, p. 1663-1667.

Research output: Contribution to journalArticle

Kazi, AA, Flowers, WJ, Barrett, JM, O'Rourke, AK, Postma, GN & Weinberger, PM 2014, 'Ethical issues in laryngology: Tracheal stenting as palliative care', Laryngoscope, vol. 124, no. 7, pp. 1663-1667. https://doi.org/10.1002/lary.24531
Kazi AA, Flowers WJ, Barrett JM, O'Rourke AK, Postma GN, Weinberger PM. Ethical issues in laryngology: Tracheal stenting as palliative care. Laryngoscope. 2014 Jan 1;124(7):1663-1667. https://doi.org/10.1002/lary.24531
Kazi, Aasif A. ; Flowers, W. Jeffrey ; Barrett, Jeanna M. ; O'Rourke, Ashli K. ; Postma, Gregory N ; Weinberger, Paul Maurice. / Ethical issues in laryngology : Tracheal stenting as palliative care. In: Laryngoscope. 2014 ; Vol. 124, No. 7. pp. 1663-1667.
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