///////////////////////////In medicine, dysthanasia means "bad death"[1] and is considered a common fault of modern medicine:[2]
Technologies such as an implantable cardioverter defibrillator,[3] artificial ventilation, ventricular assist devices, and extracorporeal membrane oxygenation can extend the dying process.
Dysthanasia is a term generally used when a person is seen to be kept alive artificially in a condition where, otherwise, they cannot survive; typically for some sort of ulterior motive. The term was used frequently in the investigation into the death of Formula One driver Ayrton Senna in 1994. WIKIP
//////////////////////////.......In the ICU the patient is heavily sedated with propofol, but otherwise presumably neurologically intact. Would you want to wake the patient up first so he could be informed what is happening? Would you give him a chance to say goodbyes to family? Should the intensivist ask the family to decide?
The feelings of the medical team are diverse, opinions vary as to whether an individual would want to wake up before death. Would it be cruel to wake him up, just to tell him that he is going to die? He may have gone into the operation knowing that this was a high-risk procedure but had the reassurance of thinking 'If I wake up, I'll be OK, if I'm going to die, I'll never know about it'. In those circumstances the patient would not be expecting to waken to the certainty of imminent death. An alternative feeling in the medical team was that, given the opportunity, many people would want to know what was happening and possibly complete the process of saying goodbye to loved ones.
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