The right of a patient or surrogate to refuse life-sustainingtreatment, including mechanical ventilation, is firmly establishedin American law and bioethics.1 Moreover, practice standardsnow encourage clinicians to administer sedatives and analgesicsin doses that fully relieve the pain and suffering of terminallyill patients, including patients from whom life support is beingwithdrawn.2 In addition to receiving these medications, however,some patients from whom mechanical ventilation is being withdrawnhave been receiving or are given neuromuscular blocking agentsat the time of death. By blocking neuromuscular transmission,these agents cause paralysis until they are metabolized or theiraction . . . [Full Text of this Article]
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