Blackwell C
Intensive Crit Care Nurs. 1993 Jun;9(2):122-8. doi: 10.1016/0964-3397(93)90053-z.
There is a shortfall in organ donations, particularly with regard to an increasing dialysis population. Some patients who now die on general wards would be suitable donors if they were nursed on Intensive Care Units (ICUs) and ventilated until brain-stem death is confirmed. This study examines the concept of elective ventilation in relation to ethical, economic and resource considerations and examines the role and philosophy of ICU nursing care. A suitable nursing model is discussed, including caring for relatives. In conclusion, it is submitted that the concept of elective ventilation for transplant purposes is not incompatible with the philosophy and aims of ICUs and nursing.
器官捐赠存在缺口，尤其是对于不断增加的透析人群而言。一些目前在普通病房死亡的患者，如果在重症监护病房（ICU）接受护理并进行通气，直至确认脑干死亡，他们将成为合适的捐赠者。本研究探讨了与伦理、经济和资源考量相关的选择性通气概念，并审视了ICU护理的作用和理念。文中讨论了一种合适的护理模式，包括对亲属的关怀。总之，有人认为，为移植目的进行选择性通气的概念与ICU及护理的理念和目标并不矛盾。
