Šarić Lenko, Prkić Ivana, Jukić Marko
Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Split, Split, Croatia.
Department of Anaesthesiology, Reanimatology and Intensive Care, University of Split, School of Medicine, Split, Croatia.
J Bioeth Inq. 2017 Sep;14(3):329-337. doi: 10.1007/s11673-017-9793-x. Epub 2017 Jun 20.
The main goal of intensive care medicine is helping patients survive acute threats to their lives, while preserving and restoring life quality. Because of medical advancements, it is now possible to sustain life to an extent that would previously have been difficult to imagine. However, the goals of medicine are not to preserve organ function or physiological activity but to treat and improve the health of a person as a whole. When dealing with medical futilities, physicians and other members of the care team should be aware of some ethical principles. Knowing these principles could make decision-making easier, especially in cases where legal guidelines are insufficient or lacking. Understanding of these principles can relieve the pressure that healthcare professionals feel when they have to deal with medical futility. Efforts should be made to promote an ethics of care, which means caring for patients even after further invasive treatment has been deemed to be futile. Treatments that improve patients' comfort and minimize suffering of both patients and their families are equally as important as those aimed at saving patients' lives.
重症医学的主要目标是帮助患者在生命受到急性威胁时存活下来，同时维护和恢复生活质量。由于医学的进步，现在维持生命的程度在以前是难以想象的。然而，医学的目标不是维持器官功能或生理活动，而是治疗和改善一个人的整体健康。在处理医疗无效情况时，医生和护理团队的其他成员应该了解一些伦理原则。了解这些原则可以使决策更容易，特别是在法律准则不足或缺乏的情况下。理解这些原则可以减轻医疗保健专业人员在处理医疗无效情况时所感受到的压力。应该努力促进一种关怀伦理，这意味着即使在进一步的侵入性治疗被认为无效之后也要关心患者。改善患者舒适度并尽量减少患者及其家人痛苦的治疗与旨在挽救患者生命的治疗同样重要。
