[Treatment Limitation in Intensive Care Medicine].
作者信息
Kink Eveline
机构信息
Abteilung für Innere Medizin und Pneumologie, LKH Graz II, Standort Enzenbach, Hörgas 30, 8112 Gratwein-Straßengel, Österreich.
出版信息
Wien Klin Mag. 2022;25(2):48-53. doi: 10.1007/s00740-022-00437-0. Epub 2022 Mar 11.
Abstract
One of the primary tasks of intensive care medicine is the daily evaluation of medical appropriateness of diagnostic and therapeutic interventions. If the measures are not meaningful, our ethical principles require us to stop and to allow the person to die with dignity. Decisions at the end of life are subject to various influencing factors and therefore follow national guidelines. The ethical climate not only has an impact on the patient and their family, but burnout rates, employee satisfaction and staff turnover are also directly associated with end-of-life decision-making.
摘要
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本文引用的文献
1
Ethical climate and intention to leave among critical care clinicians: an observational study in 68 intensive care units across Europe and the United States.
Intensive Care Med. 2020 Jan;46(1):46-56. doi: 10.1007/s00134-019-05829-1. Epub 2019 Nov 5.
2
Changes in End-of-Life Practices in European Intensive Care Units From 1999 to 2016.
JAMA. 2019 Nov 5;322(17):1692-1704. doi: 10.1001/jama.2019.14608.
3
Outcome in patients perceived as receiving excessive care across different ethical climates: a prospective study in 68 intensive care units in Europe and the USA.
Intensive Care Med. 2018 Jul;44(7):1039-1049. doi: 10.1007/s00134-018-5231-8. Epub 2018 May 28.
4
End-of-life care in the intensive care unit: Report from the Task Force of World Federation of Societies of Intensive and Critical Care Medicine.
J Crit Care. 2016 Aug;34:125-30. doi: 10.1016/j.jcrc.2016.04.017.
5
End-of-life decision-making in respiratory intermediate care units: a European survey.
Eur Respir J. 2007 Jul;30(1):156-64. doi: 10.1183/09031936.00128306.
6
Attitudes of European physicians, nurses, patients, and families regarding end-of-life decisions: the ETHICATT study.
Intensive Care Med. 2007 Jan;33(1):104-10. doi: 10.1007/s00134-006-0405-1. Epub 2006 Oct 26.
7
[Consensus document of the Austrian Intensive Care Medicine Societies. Recommendations on therapy limit and withholding therapy on intensive care units].
Wien Klin Wochenschr. 2004 Nov 30;116(21-22):763-7. doi: 10.1007/s00508-004-0267-x.
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