Schecter W P
Department of Surgery, University of California at San Francisco, School of Medicine.
Surg Clin North Am. 1994 Apr;74(2):245-59.
Geriatric patients often require prolonged postoperative intensive care after complex surgery. These patients frequently are intubated, sedated or confused, and unable to participate in therapeutic decisions. There is much controversy surrounding the use of critical care in the elderly as well as prognostic uncertainty. This article reviews the medical, ethical, and legal issues that define the clinical principles involved in the decision to limit life support in geriatric patients.
老年患者在接受复杂手术后往往需要长时间的术后重症监护。这些患者常常需要插管、使用镇静剂或神志不清,无法参与治疗决策。围绕老年患者使用重症监护以及预后的不确定性存在诸多争议。本文回顾了界定老年患者生命支持限制决策所涉及临床原则的医学、伦理和法律问题。