Furthermore, the lack of knowledge and the
underuse of these recommendations by
clinical staff, are two main challenges for an
optimal standardization of the palliative
sedation practice across European countries.
References
1. Garralda E, Surges S, Jaspers B, Brunsch H,
Radbruch L, Busa C, et al. Deliverable 1.3
International survey for identifying National
Guidelines, regulations and medical devices
on Palliative Sedation in eight European
countries. [Internet]. Pamplona; 2020.
Available from: https://ec.europa.eu/
research/participants/documents/download
Public?documentIds=080166e5d670e659
&appId=PPGMS
2. Garralda E, Busa C, Pozsgai É, OsztromokLukacs V,
Csikós A, et al. Regulations on
palliative sedation: an international survey
across eight European countries. Eur J Public
Health. 2023;33(1):35-41. doi:
10.1093/eurpub/ckac153
3. Abarshi E, Rietjens J, Caraceni A, Payne S,
Deliens L, Van Den Block L. Towards a
standardised approach for evaluating
guidelines and guidance documents on
palliative sedation: study protocol. BMC
Palliat Care. 2014;13:34. doi: 10.1186/1472-
684X-13-34
4. Cherny NI, Radbruch L. European
Association for Palliative Care (EAPC)
recommended framework for the use of
sedation in palliative care. Palliat Med.
2009;23(7):581-93. doi:
10.1177/0269216309107024
5. Schrijvers D, Cherny NI. ESMO clinical
practice guidelines on palliative care:
Advanced care planning. Ann Oncol. 2014;25
44
(23):138-42. doi: 10.1093/annonc/mdu241
6. NCCN. National Comprehensive Cancer
Network (NCCN). NCCN Clinical practice
guidelines in oncology. [Internet]. 2014.
Available from: www.nccn.org
7. SCIP. The Italian Association for Palliative
Care (SICP): Raccomandazioni della SICP
sulla Sedazione Terminale/Sedazione
Palliativa. [Internet]. Available from:
https://www.fondazioneluvi.org/wpconten
t/uploads/2017/01/Sedazione-TerminaleSedazione-Palliativa.pdf
8. Royal Dutch Medical Association.
Guideline for Palliative Sedation. Utrecht,
the Netherlands: Royal Dutch Medical
Association (KNMG); 2009.
9. (SECPAL) OMC (OMC) and SE de CP. Guía
de Sedación Paliativa [Internet]. 2012.
Available from: https://www.cgcom.es/site
s/default/files/guia_sedaccion_paliativa
10. Surges SM, Garralda E, Jaspers B,
Brunsch H, Rijpstra M, Hasselaar J, et al.
Review of European Guidelines on
Palliative Sedation: A Foundation for the
Updating of the European Association for
Palliative Care Framework. J Palliat Med.
2022;25(11):1721-31. doi:
10.1089/jpm.2021.0646
11. Teunissen SC, Wesker W, Kruitwagen C,
de Haes HC, Voest EEde GA. Symptom
prevalence in patients with incurable
cancer: a systematic review. J Pain
Symptom Manag. 2007;34(1):94-104. doi:
10.1016/j.jpainsymman.2006.10.015