Beyond hospital care: More efficient care of the chronic terminal elderly

in 1.3% vs 11.9% (P=0.01). Doses for sedation maintenance were significantly lower after the guideline was implemented (9.86 vs 18.67mg, P<0.001). Conclusions.– Dyspnea is the main trigger for palliative sedation. Few changes were found immediately after the guideline was implemented, except for significant improvements in midazolam dosing and a decrease of palliative care team involvement. More time is needed to assess long term changes.