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Consultant Department of Anaesthesiology and Critical Care Medicine
An overview of time-limited trials (TLT), collaborative agreements between the treating team and the patient to apply life-sustaining therapies to help reduce prognostic uncertainty and foster trust between teams and patients and/or patient surrogates. Introduction Medical indication and a patient's consent form the basis of every diagnostic or therapeutic medical measure (Millike
READ MOREWhat will be the consequences of the new German law of criminalising ex-post triage? Will it result in more legal disputes, ethical dilemmas and preventable deaths? Or will it achieve its goal? As the COVID-19 pandemic hit mankind, many healthcare systems worldwide faced a widely unprecedented shortage of personnel, pharmaceuticals, equipment and/or protective gear. Subsequently, many...
READ MOREIn light of harsh criticism regarding physicians’ prioritising scarce resources during the COVID-19 pandemic, the question arises: is prioritising truly a physicians’ problem? The COVID-19 pandemic has led to pronounced discrepancies between the need for medical care and the ability of many health care systems to provide it. Subsequently, treating teams needed and still need to...
READ MORECOVID-19 has resulted in an enormous demand for critical care personnell and increased consumption of resources. How can healthcare systems prepare for the allocation of scarce resources? Introduction Health care crises, like the COVID-19 pandemic, can lead to a pronounced regional, national and even supranational discrepancy between the need for medical care and the ability of the...
READ MOREOver the last decades, increasingly more elderly and often chronically ill patients are being cared for in hospitals during the last weeks or months of their lives. "Elderly patients" in this article refers to patients above 65 years of age. There are other cutoff ages used, yet with regards to treatment options and prognoses, the numerical age of elderly patients is less influential than their biological...
READ MOREDo we need yet another standard operating procedure? Variability in end-of-life care would seem to demand a standard operating procedure, but a roadmap towards harmonisation arguably would be easier to implement. Mainly due to enormous pharmacological and technological innovation during the last decades, intensive care medicine can help patients survive, whose vital functions are...
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