Indicações clínicas e desafios da extubação paliativa em pacientes terminais: uma revisão integrativa

Palliative extubation is an option to provide a more dignified quality of life for the patient and family. From this perspective, the main objective is to analyze the clinical indications and challenges faced in the context of this extubation in terminally ill patients. To this end, in the light of an integrative methodology, an integrative review was carried out on the topic based on the descriptors “extubation”, “palliative care”, “terminal assistance” in databases such as: Virtual Health Library, Scielo and Pubmed. The results of the article point to palliative extubation based on the careful assessment of the patient's clinical status through a multidisciplinary and compassionate approach. Therefore, issues such as empathetic communication with family members and healthcare professionals, emotional support, pain and symptom control are crucial points to be addressed as part of the palliative extubation process.