Palliative sedation is a medical intervention aimed at relieving intractable suff ering by inducing decreased awareness of symptoms. It is typically considered a palliative option for patients suff ering unbearably in the last days of life. The estimated frequency of palliative sedation varies considerably in scientifi c literature, partly due to diff erences in defi nition and research setting and diff erences in terminology. Whereas in the English medical scientifi c literature the fi rst descriptions of palliative sedation referred to ‘terminal sedation’, in Dutch medical literature palliative sedation was fi rst described as ‘deep sedation in the dying phase’. Although terminology still varies – e.g. continuous deep sedation6, continuous sedation until death, continuous deep sedation until death, continuous sedation at the end of life, palliative sedation at the end of life, palliative sedation therapy, palliative sedation to unconsciousness, terminal sedation, continuous palliative sedation – the most frequently used general term for this treatment in the literature nowadays is palliative sedation.

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J.J.M. van Delden (Hans) , A. van der Heide (Agnes)
Erasmus University Rotterdam
Th e studies presented in this thesis were carried out within the framework of the AMsterdamROtterdamSedation- project (AMROSE) and performed at the department of Public Health, Erasmus MC. Logistical support was kindly off ered by the Comprehensive Cancer Centre Rotterdam (IKNL). Th e AMROSE-project has been funded by the Dutch Organisation for Health Research and Development (ZonMw 1150.0004). Th e PhD-trajectory would not have been possible without the fi nancial support of Stichting Laurens Fonds Rotterdam and Stichting Palliatieve Zorg Dirksland Calando. Th e printing of this thesis was fi nancially supported by the department of Public Health, Erasmus MC and the Erasmus Univerity Rotterdam.
Erasmus MC: University Medical Center Rotterdam

Swart, S.J. (2013, June 26). The practice of palliative sedation in the Netherlands after the launch of the national guideline. Erasmus University Rotterdam. Retrieved from