Dysthanasia
In medicine, dysthanasia means "bad death"[1] and is considered a common fault of modern medicine.[2]
Dysthanasia is a term generally used when a person is kept alive artificially, in a condition where otherwise they cannot survive, sometimes for some sort of ulterior motive. Dysthanasia occurs when a person who is dying has their biological life extended through technological means without regard to the person's quality of life.[3] Technologies such as an implantable cardioverter defibrillator,[4] artificial ventilation, ventricular assist devices, and extracorporeal membrane oxygenation can extend the dying process. In some cases, cardiopulmonary resuscitation can be considered a form of dysthanasia.[5][6]
The term was used frequently in the investigation into the death of Formula One driver Ayrton Senna in 1994.
The etymology of the term is from the Greek language: δυσ, dus; "bad, difficult" + θάνατος, thanatos; "death".
References
- Kothari, M; Mehta, L; Kothari, V (2000). "Cause of death--so-called designed event acclimaxing timed happenings". Journal of Postgraduate Medicine. 46 (1): 43–51. PMID 10855082.
- Batchelor, A; Jenal, L; Kapadia, F; Streat, S; et al. (2003). "Ethics roundtable debate: Should a sedated dying patient be wakened to say goodbye to family?". Critical Care. 7 (5): 335–8. doi:10.1186/cc2329. PMC 270714. PMID 12974961.
- de Menezes, MB; Selli, L; de Souza, AJ (August 2009). "Dysthanasia: Nursing professionals' perception". Revista Latino-Americana de Enfermagem. 17 (4): 443–8. doi:10.1590/S0104-11692009000400002. PMID 19820848.
- Kaufman, SR; Mueller, PS; Ottenberg, AL; Koenig, BA (2011). "Ironic technology: Old age and the implantable cardioverter defibrillator in US health care". Social Science & Medicine. 72 (1): 6–14. doi:10.1016/j.socscimed.2010.09.052. PMC 3032945. PMID 21126815.
- European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions
- Clark, J. D.; Dudzinski, D. M. (2013). "The culture of dysthanasia: Attempting CPR in terminally ill children". Pediatrics. 131 (3): 572–580. doi:10.1542/peds.2012-0393. PMID 23382437. S2CID 11611562.
Further reading
- Corke, C; Silvester, W; Bellomo, R (December 2010). "Avoiding nosocomial dysthanasia and promoting eleothanasia" (PDF). Critical Care and Resuscitation (Editorial). 12 (4): 221–2. PMID 21143080.