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COVID-19 危机的伦理问题:如何应对急性病床严重短缺的问题。

Ethical aspects of the COVID-19 crisis: How to deal with an overwhelming shortage of acute beds.

机构信息

Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Belgium.

出版信息

Eur Heart J Acute Cardiovasc Care. 2020 Apr;9(3):248-252. doi: 10.1177/2048872620922788. Epub 2020 Apr 29.

Abstract

The current outbreak of SARS-CoV-2 has and continues to put huge pressure on intensive care units (ICUs) worldwide. Many patients with COVID-19 require some form of respiratory support and often have prolonged ICU stays, which results in a critical shortage of ICU beds. It is therefore not always physically possible to treat all the patients who require intensive care, raising major ethical dilemmas related to which patients should benefit from the limited resources and which should not. Here we consider some of the approaches to the acute shortages seen during this and other epidemics, including some guidelines for triaging ICU admissions and treatments.

摘要

当前,SARS-CoV-2 的爆发给全球的重症监护病房(ICU)带来了巨大的压力。许多 COVID-19 患者需要某种形式的呼吸支持,并且经常在 ICU 中停留很长时间,这导致 ICU 床位严重短缺。因此,并非总能为所有需要重症护理的患者提供治疗,这就引发了与哪些患者应该从有限的资源中受益以及哪些患者不应该受益相关的重大伦理难题。在这里,我们考虑了在本次疫情和其他疫情中出现的急性资源短缺的一些应对方法,包括对 ICU 入院和治疗进行分类的一些指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/141c/7741288/036f5deb296c/10.1177_2048872620922788-fig1.jpg

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