The hospital wished to discontinue life support, allowing Nikolouzos to die.
Under the 1999 Advance Directives Act (also known as The Texas Futile Care Law), the hospital may override the family's wishes in such a matter should an ethics committee clear such an action.
However, Nikolouzos's family won an emergency injunction preventing the removal of the life support apparatus, and on March 21, 2005, Spiro Nikolouzos was removed to Avalon Place Nursing Home in San Antonio, Texas.
The precedent set by the case of Sun Hudson may have helped to expedite the removal of Nikolouzos from artificial respiration prior to the move.
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