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.
Type de document :
Article dans une revue
Liste complète des métadonnées

https://hal-univ-bourgogne.archives-ouvertes.fr/hal-01680680
Contributeur : Lnc - Université de Bourgogne <>
Soumis le : jeudi 11 janvier 2018 - 08:54:18
Dernière modification le : mardi 26 février 2019 - 10:12:46

Lien texte intégral

Identifiants

Citation

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. ⟨http://atm.amegroups.com/article/view/16149/18103⟩. ⟨10.21037/atm.2017.06.53⟩. ⟨hal-01680680⟩

Partager

Métriques

Consultations de la notice

58