Why do many family members refuse to be intubated, and why do some people ask not to be intubated wh

Hello, glad to answer for you, it may be that the patient's condition is serious, and then the family does not want to see her receive it again. hurt, I don't want to see him uncomfortable, so I refuse to be intubated. I believe most people are.

Standing in the other party's point of view for the sake of the other party, unless it has reached the point of last resort, it will be. That's how it is. I would say that I don't want to be intubated Nowadays, the standard of living and medical care have been greatly improved, although it is said that it is a major disease.

The survival rate has improved, but many family members are not so "happy". Because when a person is on the verge of death, has weak breathing, or is not breathing spontaneously, doctors will recommend intubation to maintain the patient's vital signs.

And the likelihood of this patient** is already very small.

However, many people are more disgusted with intubation, and most of them have the same thoughts as Aunt Wang in the story:

Aunt Wang and Uncle Guo have been married for more than 50 years and are seeing a golden wedding.

It was about to arrive, but Uncle Guo fell ill. Uncle Guo has a history of smoking for more than 50 years, and recently had chest pain, and he didn't care much about thinking that it was a normal sign of old age, but he still had hemoptysis when he didn't get better.

I went to the hospital for an examination only to find out that lung cancer.

Advanced. After a period of chemotherapy.

The disease is not well controlled. Uncle Guo's body became weaker and weaker, most of the time in a coma, in the face of the deterioration of the condition, the doctor recommended intubation, but Aunt Wang refused, saying: "He came with a mission when he came, he is tired now, and the mission is completed, let him go with dignity, I don't want him to be tortured anymore, he is already very tired."

In the face of dying family members, I believe that many people will do the same as Aunt Wang. Some time ago, I talked to my grandfather about the topic of life and death, and my grandfather's words touched me very much, and my grandfather said: "If I really have any problems at that time, don't be intubated, just let me go quietly."

The choice of not intubating depends on whether the disease is terminal, or whether the patient is dying, which means that time is running out.

In this case, instead of intubating in order to let the family live longer, it is better to let it go quietly.

Because people who have never seen it don't know how much pain they suffer from intubation, they can't speak, and if there is a tube as thick as a finger in their throat, it is ten million times more painful than if you usually drink alcohol and cut your throat. I was already suffering from the pain, and I had to be intubated with a trachea, a gastric tube, a urinary tube, and an infusion tube, and I had to put tubes all over my body, just imagine ......

Many people think that it is better to die than to live, but they really lack thinking about life and death.

Most people are unable to properly deal with the death and departure of their loved ones. Since you can't stop leaving, why not say goodbye!

It is actually quite tragic to get to the point where the family members extubate themselves. I don't know if the subject has provided other options to the family, after all, it is also to give up**, and there are some less cruel ways.

Of course, if the family members are cruel and cold-blooded people without conscience, it may be useless to communicate. But I still believe that most people are ordinary people who don't understand hospice care and don't know what to do.

The family's appeal is very clear, they are afraid of spending money and want to get rid of it as soon as possible.

Because instead of letting the living live in meaningless ** suffering, it is better to let them leave with dignity.

Intubation can effectively maintain the patient's vital signs and prolong the patient's survival time, which is generally seen in critically ill patients and rescue. The disadvantage is that for patients with advanced and severe disease, it can prolong the survival time, but it also brings great pain to the patient and prolongs the time of suffering of the patient.

What is intubation

Intubation is a medical term that means that a catheter is inserted into the body through a cavity on the surface and inside the body to insert and aspirate a gas or liquid.

Common intubations include endotracheal intubation (inserting a tube through the pharyngeal cavity and glottis into a person's trachea for ventilation) and gastric tube intubation (inserting a tube through the esophagus into the human stomach to remove gastric juice or give a nutrient solution).

Nowadays, the standard of living and medical care have been greatly improved, and although the survival rate of major diseases has been improved, many family members are not so "happy". Because when a person is on the verge of death, when the breathing is weak or not breathing spontaneously, the doctor will recommend intubation to maintain the patient's vital signs, and the possibility of the patient** is very small.

Legal analysis: Generally verbally and quietly, this is illegal, usually the hospital will ask the family members of the parties to sign the agreement, if not signed, it is illegal. Euthanasia is not allowed in our country.

Euthanasia was only a theoretical ** in China before the goal of Yunchang. In foreign countries, euthanasia can be achieved if you have a painful and unavoidable disease.

About euthanasia:

1. Euthanasia refers to stopping or using drugs for patients who cannot be treated, so that the patient can die bitterly.

2. The word "euthanasia" is derived from the Greek word which means:"Happiness"Death.

3. It includes two meanings, one is the bitter death of peace; The second is the first lethal technique.

Euthanasia must meet the following conditions:

1. From the perspective of modern medical knowledge and technology, the patient suffers from an incurable disease and is approaching death;

2. The patient is in extreme pain and unbearable;

3. It must be implemented for the purpose of relieving the patient's suffering before death, rather than for the benefit of relatives, the state and society;

4. There must be sincere entrustment or consent of the patient when he is conscious;

5. In principle, it must be performed by a physician;

6. Appropriate methods recognized by social ethics must be adopted.

Classification: 1. Positive stupid euthanasia refers to taking measures to promote the death of the patient and end his life.

2. Negative euthanasia. That is, for patients in the rescue, such as dying patients, no ** measures are given or removed, and they are allowed to die.

Legal basis: Article 232 of the Criminal Law of the People's Republic of China Whoever intentionally kills a person shall be sentenced to death, life imprisonment or fixed-term imprisonment of not less than 10 years; where the circumstances are more minor, the sentence is between three and ten years imprisonment.

Derivative question: Which is more painful, shooting or euthanasia? A:

There are many ways to carry out the death penalty, and lethal injection is more acceptable than shooting. The change in the execution of the death penalty from shooting to lethal injection is an international trend to promote the humanization of punishment. Lethal injection is more civilized and humane than shooting, and reduces the suffering of death row inmates.

You can rest assured about this, as long as you don't pay again, the hospital will help you pull it out, and you don't have to worry about whether it is illegal or not.

Why do some people ask not to be intubated when they get sick?

Many years ago, when I was a trainee in a hospital, I received a VIP ward consultation**, and I had a little pressure sore on my heel, and there was no special treatment. The patient is a well-known professor in a medical field, has a pupillary reflex and a heartbeat, but is unconscious, unable to breathe, and is intubated on a ventilator to assist breathing, how many days has this been the case? More than 500 days!

With the charges at that time, it cost thousands of yuan a day, so why could you live for more than 500 days? As long as the patient is alive, he will have a salary of tens of thousands of yuan per month, and the average salary at that time is only 1,000 yuan.

I never went to the VIP ward again, and I don't know how many days the patient lived? How much money did the son receive! Is it illegal? What's wrong? As if no, is the patient really alive, and who has the right not to be intubated? Do doctors dare?

The literary giant Ba Jin also spent his last time in intubation, but the old man's consciousness and thinking were clear, and he was asked to live for more than two years, and later expressed his desire to be extubated.

The Alliance for Refusing Intubation was initiated by some well-known people, that is, at the end of his life and unconsciously, he went with the flow and did not intubate, and the female writer Qiong Yao also made a similar statement. Birth, old age, sickness and death, leaves fall back to the roots, the laws of nature, don't go against them at a certain time, and it is in vain to deliberately.

Cancer patients often encounter the same problem, knowing that there is no possibility of any reversal, requiring hospitalization, rescue, and excessive **? Who wouldn't dare not overdo it? The child may have done his filial piety and had no regrets, and has asked the patient's opinion?

Some people may say, isn't it to prolong the life of the patient as much as possible? Extending the time is only one of the purposes, and the patient must also have a certain quality of life! When there is no quality of life, most people advocate that the patient's survival time should not be deliberately prolonged, including intubation to assist breathing, nor can the patient's life be shortened at will.

Because the whole person will feel very uncomfortable with intubation, and it is also very inconvenient to move. There will be despair in the heart.

Specific intubation or not, or do not intubate, or listen to the doctor's advice. However, the doctor will not let the intubation until the last resort, because the intubation is an invasive means, which has a certain damage to the airway mucosa, there is a risk of bleeding, infection, suffocation and death, and the patient's subjective feeling is not good, so in the case of being able to use nasal cannula, mask and other non-invasive respiratory assistance, intubation should be avoided.

Because intubation is traumatic, it is very painful for the patient if he is conscious, because he can neither speak nor eat because of the tube in his mouth.

Generally, if the patient's condition reaches the level of tracheal intubation, it means that the patient's condition is already very serious, if the patient is an elderly patient, with many underlying diseases, such as hypertension, diabetes, malignant tumors, blood diseases, etc., even if the intubation can save the chance of rescue.

Violate the law. As long as there is breathing and heartbeat, even if a living person is still alive, even if he is already brain dead, it is useless, and extubation without permission is a crime, it is an illegal deprivation of the life of another person, and he will be suspected of committing intentional homicide. The object violated by the crime of intentional homicide is the right to life of another person.

Life in law refers to a living organism that can breathe independently and can metabolize, which is a prerequisite for human existence.

The crime of intentional homicide must first involve the deprivation of another person's life, and both acts and omissions can be constituted. The crime of homicide, committed by omission, can only be constituted by those who have a specific duty to prevent the death of another person from occurring. Secondly, the act of depriving another person of his life must be illegal, that is, in violation of the laws of the country.

The execution of the death penalty, justifiable defense, and emergency avoidance do not constitute the crime of intentional homicide (because there are very few cases in which emergency avoidance does not constitute the crime of intentional homicide, it is usually necessary to avoid danger + make meritorious service before it may not constitute a crime). The deprivation of the victim's life with his or her consent also constitutes the crime of intentional homicide. The so-called "euthanasia" should still be punished as the crime of intentional homicide, and of course, the provisions of mitigating or mitigating may be applied to sentencing.

Third, the completed and indirect intentional homicide crimes require the death of the victim as an element, but the perpetrator's culpability can only be determined if it is ascertained that there is a causal relationship between the perpetrator's harmful conduct and the result of the victim's death.

Legal basis

Criminal Law of the People's Republic of China

Article 232:Whoever intentionally kills a person shall be sentenced to death, life imprisonment, or fixed-term imprisonment of not less than 10 years; where the circumstances are more minor, the sentence is between three and ten years imprisonment.

Article 234:Whoever intentionally injures the body of another person shall be sentenced to up to three years imprisonment, short-term detention or controlled release. Whoever commits the crime in the preceding paragraph, causing serious injury, is to be sentenced to fixed-term imprisonment of not less than three years but not more than ten years; Whoever causes death or seriously injures a person by especially cruel means, causing serious disability, is to be sentenced to fixed-term imprisonment of not less than 10 years, life imprisonment, or death. Where this Law provides otherwise, follow those provisions.

Article 234-1 Whoever organizes others to sell human organs is sentenced to up to five years imprisonment and a concurrent fine; where the circumstances are serious, a sentence of five or more years imprisonment and a concurrent fine or confiscation of property is to be given. Whoever removes his or her organs, or removes the organs of a person under the age of 18, or forces or deceives others into donating organs, is to be convicted and punished in accordance with the provisions of articles 234 and 232 of this Law. Harvesting organs from the corpse against the person's prior wishes, or the person's prior consent to the harvesting of the body's organs against the wishes of their close relatives, is to be convicted and punished in accordance with the provisions of article 302 of this Law.

This depends on whether there is a need for intubation**, if the intubation ** effect can be very good, then the intubation will be intubated, if the effect of intubation ** can only be average, then there is no need for intubation, this is best to learn from the attending doctor.