Associate Professor of Anesthesiology, Cooper Medical School of Rowan University, One Cooper Plaza, Camden, NJ 08103, United States of America; Division Head, Division of Critical Care, Department of Anesthesiology, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103, United States of America.
Assistant Professor of Medicine & Emergency Medicine, Cooper Medical School of Rowan University, One Cooper Plaza, Camden, NJ 08103, United States of America; Division of Critical Care, Departments of Medicine, Emergency Medicine, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103, United States of America.
J Crit Care. 2022 Feb;67:195-197. doi: 10.1016/j.jcrc.2021.09.019. Epub 2021 Oct 22.
This article discusses drastic changes in the practice of end-of-life care during the COVID-19 pandemic. It reviews the ethical dilemmas of individual autonomy versus societal justice, human beneficence versus public health non-maleficence that arose during the pandemic due to prolonged, high acutity,= critical illness in the setting of a highly contageous respiratory virus, protective personal equipment shortages,m crisis standards of care to distribute scarce medical resources, and changes in interactions between treating clinicians, patients, and visitors. The lessons learned during the pandemic response will directly inform and impact the appraoch to future pandemic events.
本文讨论了 COVID-19 大流行期间临终关怀实践的巨大变化。它回顾了在大流行期间由于高度传染性呼吸道病毒、个人防护设备短缺、危机标准护理以分配稀缺医疗资源以及治疗临床医生、患者和访客之间的互动方式发生变化而导致的个体自主性与社会公正、人类善行与公共卫生不伤害之间的伦理困境。大流行应对期间吸取的经验教训将直接影响并影响未来大流行事件的应对方式。