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After turning off life support, a person whos brain-dead will die within minutes, because they wont be able to breathe on their own. If a person is in a permanent vegetative state but not brain-dead, their life support likely consists of fluids and nutrition. Life Support: Statistics, Withdrawal, Types, Starting, and More - Healthline healthline.com health making-life-suppo healthline.com health making-life-suppo
Doctors usually advise stopping life support when there is no hope left for recovery. The organs are no longer able to function on their own. Keeping the treatment going at that point may draw out the process of dying and may also be costly. What Is Life Support? - WebMD webmd.com palliative-care what-is-life-s webmd.com palliative-care what-is-life-s
Once a decision has been made to withdraw treatment and agreement has been obtained from the family and admitting team, inotropes and vasopressors are discontinued, sedation may be increased, and the inspired oxygen concentration reduced to room air. ABC of intensive care: Withdrawal of treatment - PMC - NCBI nih.gov articles PMC1126940 nih.gov articles PMC1126940
The heart continues to beat while the ventilator delivers oxygen to the lungs (the heart can initiate its own beating without nerve impulses from the brain) but, despite the beating heart and warm skin, the person is dead. Since the brain has stopped working, the person wont breathe if the ventilator is switched off. Brain death - Better Health Channel betterhealth.vic.gov.au health brain-death betterhealth.vic.gov.au health brain-death
Conclusions: Time to death after withdrawal of mechanical ventilation varies widely, yet the majority of patients die within 24 hours. Subsequent validation of these predictors may help to inform family counseling at the end of life. Predictors of Time to Death After Terminal Withdrawal of Mechanical nih.gov articles PMC2913765 nih.gov articles PMC2913765
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Its hard to say for sure whether people on life support can hear their loved ones and healthcare providers. Small studies suggest its possible. This probably depends on the level of sedation and how severe any possible brain injury is. Some might recognize their name more than general phrases and terms. What Does It Mean to Be on Life Support? - GoodRx goodrx.com health-topic cardiovascular goodrx.com health-topic cardiovascular
Studies evaluating time to death after terminal withdrawal of life-sustaining measures in adults suggest that 45% to 76% of deaths occur within 60 minutes,613 and the majority of patients die within 24 hours. Time to Death after Terminal Withdrawal of Mechanical Ventilation nih.gov articles PMC4677508 nih.gov articles PMC4677508
Finally, physicians may forego life-sustaining treatment for patients who cannot make decisions and lack surrogates, but they should base their actions, as formal surrogates should, on their best understanding of what the patients themselves would want done. Legal Aspects of Withholding and Withdrawing Life Support from atsjournals.org doi ajrccm.162.6.1-00 atsjournals.org doi ajrccm.162.6.1-00

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