Montelibano L
Louisiana State University Health Sciences Center-New Orleans, USA.
J La State Med Soc. 2000 Dec;152(12):642-8.
This paper presents an overview of the ethical issues involved in creating policy regarding the use of cardiopulmonary resuscitation. Cardiopulmonary resuscitation was introduced in 1965 as a method to revive victims of acute cardiac insult from near-death conditions. The procedure is intended to prevent premature death; to be effective it must be initiated at the very latest within 12 minutes of cardiac arrest (ventricular fibrillation). Since the introduction of CPR, the scope of its use has widened such that it is often used in situations for which it has shown little, if any, benefit, and also in situations where it is contraindicated. This paper uses the issue of CPR to show how the bioethical principles of beneficence, non-maleficence, autonomy, and justice can be used to analyze issues in medical ethics.
本文概述了制定心肺复苏术使用政策所涉及的伦理问题。心肺复苏术于1965年被引入,作为一种将急性心脏损伤的受害者从濒死状态中救活的方法。该程序旨在预防过早死亡;要想有效,必须在心脏骤停(心室颤动)后最迟12分钟内启动。自心肺复苏术引入以来,其使用范围已经扩大,以至于它经常被用于几乎没有益处(如果有的话)的情况,以及被禁忌的情况。本文利用心肺复苏术这一问题来说明如何运用行善、不伤害、自主和公正等生物伦理原则来分析医学伦理问题。