000			01348cam a2200181 4500
001			NMDX7217
008			120401t2004 xxu||||| |||| 00| 0 eng d
100			_aNambisan, V.
240			_aPalliative Medicine
245			_aDying and defibrillation: a shocking experience
260			_c2004
500			_aNMUH Staff Publications
500			_a18
520			_a<span style="font-size: 10pt;">Palliative Care physicians are frequently involved in the care of patients with significant comorbidity and often have to take coexisting conditions into account when treating patients. An example of an area in which this is particularly relevant and will undoubtedly increase is presented with the case report of a patient with terminal metastatic lung carcinoma and an Implantable Cardioverter Defibrillator (ICD) in place. The role of the ICD in preventing the patient from dying comfortably is discussed, as are means of deactivating the device. We conclude that patients with ICDs and terminal disease should have the issue of deactivation addressed at the earliest possible opportunity as practical difficulties may arise in the emergency setting, especially in the nonhospital environment.</span>
700			_aChao, D.
856			_uhttps://www.ncbi.nlm.nih.gov/pubmed/15332427
856			_uhttp://search.proquest.com/publication/33103
999			_c76199 _d76199