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Article Dans Une Revue Annals of translational medicine Année : 2017

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

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Résumé

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.

Dates et versions

hal-01680680 , version 1 (11-01-2018)

Identifiants

Citer

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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