Al Faiyumi Mohammed
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Indiana University Health, Indiana University School of Medicine, Indianapolis, IN.
Crit Care Explor. 2023 Mar 27;5(4):e0894. doi: 10.1097/CCE.0000000000000894. eCollection 2023 Apr.
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.
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。