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The moral problems with time-limited trials at the end-of-life, especially when clinicians and patients have different goals.

作者信息

Donaldson Thomas M

机构信息

School of Social Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.

出版信息

Intensive Care Med. 2022 Sep;48(9):1262-1263. doi: 10.1007/s00134-022-06831-w. Epub 2022 Aug 1.

DOI:10.1007/s00134-022-06831-w
PMID:35913639
Abstract
摘要

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1
The moral problems with time-limited trials at the end-of-life, especially when clinicians and patients have different goals.临终时进行限时试验所带来的道德问题,尤其是当临床医生和患者有不同目标时。
Intensive Care Med. 2022 Sep;48(9):1262-1263. doi: 10.1007/s00134-022-06831-w. Epub 2022 Aug 1.
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Goals of Care Discussions and Moral Distress Among Neonatal Intensive Care Unit Staff.目标关怀讨论与新生儿重症监护病房工作人员的道德困境。
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Time-Limited Trials for Patients With Critical Illness: A Review of the Literature.危重症患者限时临床试验:文献综述。
Chest. 2024 Apr;165(4):881-891. doi: 10.1016/j.chest.2023.12.014. Epub 2023 Dec 13.
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Limiting life-sustaining treatment for very old ICU patients: cultural challenges and diverse practices.限制老年重症监护病房患者的生命维持治疗:文化挑战与多样做法。
Ann Intensive Care. 2023 Oct 27;13(1):107. doi: 10.1186/s13613-023-01189-8.

本文引用的文献

1
Communicating About Time-Limited Trials.关于限时试验的沟通。
Chest. 2022 Jan;161(1):202-207. doi: 10.1016/j.chest.2021.08.071. Epub 2021 Sep 6.
2
Harming patients by provision of intensive care treatment: is it right to provide time-limited trials of intensive care to patients with a low chance of survival?通过提供重症监护治疗来伤害患者:为生存机会渺茫的患者提供有限时间的重症监护治疗是否正确?
Med Health Care Philos. 2021 Jun;24(2):227-233. doi: 10.1007/s11019-020-09994-9. Epub 2021 Jan 15.
3
Withholding and withdrawal of life support from the critically ill.
对重症患者生命支持的撤除与 withholding(此处 withholding 可意译为“不予提供”)
N Engl J Med. 1990 Feb 1;322(5):309-15. doi: 10.1056/NEJM199002013220506.