Girbau Campo M Begoña, Monedero Rodríguez Pablo, Centeno Cortés Carlos
IMQ Zorrotzaurre. Departamento de Anestesia y Reanimación. C./ Ballets Olaeta 4. 48014. Bilbao. España.
Anestesiología y Cuidados Intensivos. Clínica Universidad de Navarra
Cuad Bioet. 2016 May-Aug;27(90):175-84.
Recent scientific literature has shown a growing interest to integrate palliative medicine principles into the daily workflow in the intensive care unit (ICU). This article reviews this trend with the goal that its application might provide more understanding in the resolution of some current ethical issues. Patients with an advanced disease process and at the end of life who are admitted in the intensive care unit are in such a profound level of suffering and vulnerability that only an holistic and comprehensive approach can provide adequate relief to them. Nevertheless, the reality of the clinical care of these patients in the ICU is far beyond that ideal. Our primary end point is the improvement in the clinical care provided, especially when the patient is dying. It is indeed very complex to make progress in this field, but an effort has to be made. The project is to turn to palliative medicine as a role model for end of life care and as an holistic approach, and introduce palliative medicine principles in the ICU. The goal of this article is to reveal a practical approach to accomplish this, and make it functional in order to improve our patients' clinical and ethical care.
近期科学文献显示，将姑息医学原则融入重症监护病房（ICU）日常工作流程的兴趣日益浓厚。本文回顾这一趋势，目的是其应用可能会在解决当前一些伦理问题方面提供更多理解。入住重症监护病房的晚期疾病患者和临终患者处于极度痛苦和脆弱的状态，只有采用整体和全面的方法才能为他们提供充分的缓解。然而，这些患者在ICU的临床护理现实远远超出了理想状态。我们的主要终点是改善所提供的临床护理，尤其是当患者濒临死亡时。在这个领域取得进展确实非常复杂，但必须做出努力。该项目旨在将姑息医学作为临终关怀的榜样和一种整体方法，并在ICU引入姑息医学原则。本文的目的是揭示实现这一目标的实用方法，并使其发挥作用，以改善我们患者的临床和伦理护理。
