Clínica Universidad de Navarra, Pamplona, Navarra, España.
Clínica Universidad de Navarra, Pamplona, Navarra, España.
Rev Esp Anestesiol Reanim (Engl Ed). 2021 Jan;68(1):28-36. doi: 10.1016/j.redar.2020.09.004. Epub 2020 Nov 6.
The entire world has suffered the devastating action of the SARS-CoV-2/COVID-19 pandemic. This is the ideal moment to stop and ask ourselves what happened and how we acted; to reflect on what we have learned not only for similar situations but for all of our clinical practice. This work is an ethical reflection via the clinical experience of professionals dedicated to the care of critical patients in one of the countries most affected by the SARS-CoV-2/COVID-19 pandemic in the world. Some of the moral values and categories involved in decision-making in situations of limited resources are analysed, and the need for bioethics to be a part of daily practice is proposed, along with some strategies for doing so, thus facilitating decision-making by the health professional and fair and appropriate care for the patient in situations of particular vulnerability such as those experienced in this health and social crisis.
全世界都遭受了 SARS-CoV-2/COVID-19 大流行的毁灭性影响。现在是停下来问问自己发生了什么以及我们如何行动的理想时机;反思我们不仅从类似情况下,而且从我们所有的临床实践中所学到的东西。这项工作是通过专门负责照顾世界上受 SARS-CoV-2/COVID-19 大流行影响最严重的国家之一的重症患者的专业人员的临床经验进行的伦理反思。分析了在资源有限的情况下决策中涉及的一些道德价值观和类别,并提出了将生物伦理学作为日常实践的一部分的必要性,同时提出了一些实施策略,从而为卫生专业人员的决策以及在这种健康和社会危机中患者面临的特殊脆弱情况提供公平和适当的护理提供便利。