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不再按需进行复苏:迈向通用、简单、符合伦理且医学合理的医疗状态医嘱。

No More Resuscitation a la Carte: Towards a Universal, Simple, Ethical, and Medically Sound Code Status Ordering.

作者信息

Al Faiyumi Mohammed

机构信息

Department of Medicine, Division of Pulmonary and Critical Care Medicine, Indiana University Health, Indiana University School of Medicine, Indianapolis, IN.

出版信息

Crit Care Explor. 2023 Mar 27;5(4):e0894. doi: 10.1097/CCE.0000000000000894. eCollection 2023 Apr.

Abstract

Cardiopulmonary resuscitation is a commonly performed intervention in clinical medicine and determining a patient's code status is paramount. "Limited/partial code" has crept into medical practice throughout the years and has become an acceptable practice. We describe here a tiered, clinically sounds and ethical code status ordering that includes the main elements of resuscitation, helps with establishing goals of care, eliminates the use of "limited/partial code," facilitates shared decision-making with patients and surrogates and is easy to communicate to healthcare team members.

摘要

心肺复苏是临床医学中一种常见的干预措施,确定患者的抢救状态至关重要。多年来,“有限/部分抢救”已悄然进入医疗实践,并成为一种可接受的做法。我们在此描述一种分层的、临床合理且符合伦理的抢救状态排序,其中包括复苏的主要要素,有助于确立护理目标,消除“有限/部分抢救”的使用,促进与患者及其代理人的共同决策,并且易于与医疗团队成员沟通。

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