Safety, quality & education

Management of potentially inappropriate life-sustaining therapies: a survey of Quebec intensivists

Can J AnaesthPublished Cross-sectional survey study

Authors' conclusion

Demands for PITs present a significant challenge for ICU physicians in Quebec, contributing to heterogeneous approaches and high levels of self-assessed inappropriate treatments.

Study context

Population
Academic and regional adult intensive care unit (ICU) physicians in Quebec124/319 responses (39%)
Participants
124 participants
Outcome
Level of agreement for each survey question
Methodological detailselectronic survey, fictional scenarios, qualitative thematic analysis
  • Electronic survey
  • Fictional scenarios
  • Qualitative thematic analysis

Main finding

As reported in the abstract

Level of agreement

Provided life-sustaining therapies (LSTs) in scenarios deemed inappropriate by the provider

78%

314/405

Potentially inappropriate treatments (PITs) identified as a frequent problem

71%; 84/118

Guidelines thought inadequate

69%; 82/118

Institutional support thought inadequate

59%; 70/118

Observational data: associations, not effects.

Original publication

Management of potentially inappropriate life-sustaining therapies: a survey of Quebec intensivists. Can J Anaesth. Published 21 April 2026. doi:10.1007/s12630-026-03096-5

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