哥伦比亚新冠疫情背景下的心肺复苏伦理指南
Ethical guidelines on cardiopulmonary resuscitation in the context of the COVID-19 pandemic in Colombia.
作者信息
Rueda Eduardo A, Suárez Edilma, Gempeler Fritz E, Torregrosa Lilian, Caballero Andrea, Bernal Diana, Badoui Nora
机构信息
nternational Bioethics Committee - UNESCO, Red Latinoamericana y del Caribe de Educación en Bioética; Facultad de Derecho y Ciencias Políticas, Universidad Nacional de Colombia, Bogotá, D.C., Colombia.
Facultad de Enfermería, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia.
出版信息
Biomedica. 2020 Oct 30;40(Supl. 2):180-187. doi: 10.7705/biomedica.5762.
The pandemic caused by COVID19 is associated with an increase in the number of cases of cardiorespiratory arrest, which has resulted in ethical concerns regarding the enforceability of cardiopulmonary resuscitation, as well as the conditions to carry it out. The risk of aerosol transmission and the clinical uncertainties about the efficacy, the potential sequelae, and the circumstances that could justify limiting this procedure during the pandemic have multiplied the ethical doubts on how to proceed in these cases. Based on ethical and legal grounds, this paper offers a practical guide on how to proceed in the clinical setting in cases of cardiopulmonary arrest during the pandemic. The criteria of justice, benefit, no harm, respect for autonomy, precaution, integrity, and transparency are asserted in an organized and practical framework for decision-making regarding cardiopulmonary resuscitation.
由新冠病毒（COVID-19）引发的大流行与心肺骤停病例数的增加相关联，这引发了关于心肺复苏术可实施性以及实施条件的伦理问题。气溶胶传播风险以及关于疗效、潜在后遗症以及在大流行期间可证明限制该程序合理性的情况的临床不确定性，使得对于在这些病例中如何处理的伦理疑虑成倍增加。基于伦理和法律依据，本文提供了一份关于在大流行期间心肺骤停病例的临床环境中如何处理的实用指南。在关于心肺复苏术的决策的有组织且实用的框架中，主张了公正、受益、无害、尊重自主性、预防、完整性和透明度等标准。
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