心脏骤停后停止生命维持治疗。

IF 3.4 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2025-08-04 DOI:10.1097/MCC.0000000000001310

Jonathan Tam, Jonathan Elmer

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引用次数: 0

摘要

综述目的：本综述探讨了心脏骤停复苏后生命维持治疗（WLST）退出的复杂性，重点关注其关键激励因素和对知识生成的更广泛意义。最近的研究发现：当接近WLST时，重要的是平衡客观预后数据与伦理原则和文化规范，以确保提供个性化的，以患者为中心的护理。由于指导心脏骤停后预后的证据仍然有限，伦理框架不是规范性的，文化规范是可变的，因此WLST的应用并不一致。这导致了研究和临床决策中普遍存在的偏见。摘要：心脏骤停后的WLST是一个复杂的决定。基于证据的预测方法有明显的局限性，临床医生使用的方法不一致。我们必须考虑到WLST的影响，以避免对结果数据的偏见解释。

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Withdrawal of life-sustaining therapies after cardiac arrest.

Purpose of review: This review explores the intricacies of withdrawal of life-sustaining therapy (WLST) after resuscitation from cardiac arrest, focusing on its key motivators and broader implication for knowledge generation.

Recent findings: When approaching WLST, it is important to balance objective prognostic data with ethical principles and cultural norms to ensure delivery of personalized, patient-centered care. Because evidence guiding prognostication after cardiac arrest remains limited, ethical frameworks are not prescriptive, and cultural norms are variable, WLST is inconsistently applied. This contributes to pervasive biases in research and clinical decision making.

Summary: WLST following cardiac arrest is a complex decision. Evidence-based approaches to prognostication have notable limitations and are inconsistently utilized by clinicians. We must account for the effect of WLST to avoid perpetuating biased interpretations of outcome data.

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.