Camb Q Healthc Ethics. 2021 Apr;30(2):272-284. doi: 10.1017/S0963180120000833. Epub 2020 Oct 30.
The COVID-19 (Coronavirus disease of 2019) pandemic has led to intense conversations about ventilator allocation and reallocation during a crisis standard of care. Multiple voices in the media and multiple state guidelines mention reallocation as a possibility. Drawing upon a range of neuroscientific, phenomenological, ethical, and sociopolitical considerations, the authors argue that taking away someone's personal ventilator is a direct assault on their bodily and social integrity. They conclude that personal ventilators should not be part of reallocation pools and that triage protocols should be immediately clarified to explicitly state that personal ventilators will be protected in all cases.
COVID-19(2019 年冠状病毒病)大流行导致在危机标准护理期间就呼吸机的分配和重新分配进行了激烈的讨论。媒体和多个州的指导方针中的多个声音都提到了重新分配的可能性。作者借鉴了一系列神经科学、现象学、伦理和社会政治方面的考虑,认为夺走某人的个人呼吸机直接侵犯了他们的身体和社会完整性。他们的结论是,个人呼吸机不应该成为重新分配池的一部分,并且分类协议应立即澄清,明确规定在所有情况下都将保护个人呼吸机。