Ethical issues in resuscitation and intensive care

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2024-11-01 DOI:10.1016/j.mpaic.2024.08.006

Jill Keohone, Paul McConnell

引用次数: 0

Abstract

Advances in the care of critically unwell patients have begun to blur the boundaries between life and death; coupled with an ageing population, intensive care physicians routinely make difficult decisions in their clinical work. The model of supported decision-making with patients has become standard, however, patients in the intensive care unit (ICU) are often unable to express their wishes at the point of admission. Recent legal cases have resulted in increased scrutiny upon the decisions we make when caring for patients unable to consent to treatment, due to incapacity and critical illness, particularly when they involve the limitation or discontinuation of life supporting therapies. A robust understanding and application of the moral, ethical and legal frameworks are useful to aid in making decisions in patients’ best interests when faced with clinical dilemmas on the ICU.

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复苏和重症监护中的伦理问题

危重病人护理方面的进步已经开始模糊了生与死之间的界限；再加上人口老龄化，重症监护医生在临床工作中经常要做出艰难的决定。与病人一起辅助决策的模式已成为标准，但重症监护病房（ICU）的病人往往无法在入院时表达自己的意愿。最近的一些法律案件使我们在护理因丧失行为能力和危重病人而无法同意治疗的病人时所做出的决定，尤其是涉及限制或停止维持生命的疗法时，受到了更多的审查。对道德、伦理和法律框架的深刻理解和应用，有助于我们在重症监护病房面临临床困境时做出符合病人最佳利益的决定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.