Ethical aspects of admission or non-admission to the intensive care unit

Abstract : The question of admission and non-admission to the intensive care unit (ICU) raises several ethical questions. There is a fine line between the risk of loss-of-opportunity for the patient in case of non-admission, and the risk of unreasonable therapeutic obstinacy, in case of unjustified admission. Similar difficulties arise in decisions regarding re-admission or non-re-admission, with the sole difference that the intensivists already know the patient and his/her medical history. This information can help inform the decision when re-admission is being considered. Intensive, i.e., life-sustaining care should be implemented after shared reflection involving the caregivers, the patient and the family, and the same applies for non-implementation of these same therapies. Anticipating admission or non-admission to the ICU in case of acute organ failure, or in case of potential deterioration represents a major challenge for our discipline in the coming years.
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Contributeur : Lnc - Université de Bourgogne <>
Soumis le : jeudi 11 janvier 2018 - 08:54:18
Dernière modification le : mardi 26 février 2019 - 10:12:46

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Jean-Philippe Rigaud, Mikhael Giabicani, Marion Beuzelin, Antoine Marchalot, Fiona Ecarnot, et al.. Ethical aspects of admission or non-admission to the intensive care unit. Annals of Translational Medicine, 2017, 5 (S4), pp.S38 - S38. ⟨10.21037/atm.2017.06.53⟩. ⟨hal-01680680⟩



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