Traduction en anglais : Ethics in intensive care medicine.
In more than 30 years of development ofin-intensive care medicine (ICM), our speciality has acquired moral and ethical standpoints, although not without public pressure and discussions.
Special commissions dealing, e.g., with brain death, terminal care, ethics of foregoing life-sustaining treatment the critically ill, withholding or withdrawing mechanical ventilation, and other issues have meen formed in a number of medical societies.
International consensus conferences have helped to clarify some of the issues.
With increasing experience, a multitude of ethical problems have arisen in ICM that have to be dealt with, such as the issue of quality of life.
What is an unworthy life ?
Are we allowed to makejudgments for our patients ?
What is cost-effectiveness in ICM ?
Other restrictions include bed and equipment shortages in the intensive care unit (ICU), the necessity fortriage - undisputed in catastrophe medicine - and how one should proceed in managing elective patients ?
In situations of limited ICU bed availability, sicker patients will be admitted, sparing out patients who are less ill for observation and those with poor quality of life and poor prognosis.
For the future, it will likely be necessary to define the patients who should be admitted to an ICU more than those who should not be admitted. (...)
Mots-clés Pascal : Soin intensif, Spécialité médicale, Hôpital, Ethique, Homme, Qualité vie, Autriche, Europe
Mots-clés Pascal anglais : Intensive care, Medical specialty, Hospital, Ethics, Human, Quality of life, Austria, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0272533
Code Inist : 002B30A09. Création : 15/07/1997.