Although Dutch clinicians
sometimes reported discussing the ‘option’ of CSD with patients,
this was usually in situations where euthanasia had been talked
about at an earlier point but could not be carried out at the time of
the appearance of refractory suffering.Another recent European
study based on the opinions of experts has shown that debates
over CSD still persist on multiple grounds (conceptual, medical
and ethical) and indicates that concerns seem to be focused on
specific questions [16]: Is CSD an extreme facet of end-of-life
sedation? Is psycho-existential suffering an indication for CSD? Is
withdrawing or withholding of artificial nutrition and hydration
potentially life-shortening?