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大流行背景下重症监护患者的收治标准与管理:法国重症监护学会伦理委员会立场,2021年4月更新

Admission criteria and management of critical care patients in a pandemic context: position of the Ethics Commission of the French Intensive Care Society, update of April 2021.

作者信息

Lesieur Olivier, Quenot Jean Pierre, Cohen-Solal Zoé, David Raphaëlle, De Saint Blanquat Laure, Elbaz Maxime, Gaillard Le Roux Bénédicte, Goulenok Cyril, Lavoué Sylvain, Lemiale Virginie, Mercier Emmanuelle, Mezher Chaouki, Misset Benoît, Penven Gwendolyn, Poujol Anne Laure, Quentin Bertrand, Quéré Régis, Van Der Linden Thierry, Rigaud Jean Philippe

机构信息

Intensive Care Unit, General Hospital, La Rochelle, France.

Intensive Care Unit, University Hospital, Dijon, France.

出版信息

Ann Intensive Care. 2021 Apr 26;11(1):66. doi: 10.1186/s13613-021-00855-z.

Abstract

Intensive care unit professionals have experience in critical care and its proportionality, collegial decision-making, withholding or withdrawal of treatment deemed futile, and communication with patients' relatives. These elements rely on ethical values from which we must not deviate in a pandemic situation. The recommendations made by the Ethics Commission of the French Intensive Care Society reflect an approach of responsibility and solidarity towards our citizens regarding the potential impact of a pandemic on critical care resources in France, with the fundamental requirement of respect for human dignity and equal access to health care for all.

摘要

重症监护病房的专业人员在重症监护及其比例性、共同决策、停止或撤销被认为无意义的治疗以及与患者亲属沟通方面拥有经验。这些要素依赖于伦理价值观,在大流行情况下我们绝不能背离这些价值观。法国重症监护学会伦理委员会提出的建议反映了一种对我们公民负责和团结的态度,即考虑到疫情对法国重症监护资源的潜在影响,其基本要求是尊重人的尊严以及确保所有人平等获得医疗保健。

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