Search Tag: ethics
2024 19 Apr
This article highlights some particularities to be considered when making decisions in paediatric ICUs and the role of parents (or legal guardians) and the physician in the dilemma involved in paediatric decision-making. In these times, an ill individual is believed to be an autonomous moral agent to make decisions regarding...Read more
2021 27 Jul
Extracorporeal life support has had a significant impact on modern medicine. However, the use of this technology has significant ethical challenges. In this review, the authors identify three ethical discourses: trials and evidence accompanying the use of ECLS, the ECLS allocation, decision-making and limiting care and death on ECLS and ECLS in...Read more
2020 01 Dec
In an extremely informative session at the Euroanaesthesia 2020 this week, Caterina Aurilio of Naples, Italy, discussed triage in COVID-19 - who should be ventilated? Prof. Aurilio highlighted the fact that guidelines had been developed by different health systems across the globe to provide treatments in the ICU and to reduce the burden on doctors...Read more
2020 14 Sep
Use Case COVID-19-ICU Bethany Hospital Germany Medicine is an activity of special dignity at all times. Healthcare professionals are responsible actors and have to consider the business of operating ethics. Weighing up values under considerable time pressure, existential fates and critically discussed evidence is a considerable challenge for them,...Read more
2017 06 Oct
With vast numbers of migrants and refugees reaching Europe over the last few years, what are the implications for intensivists? A session arranged by the Ethics section of the European Society of Intensive Care Medicine, which held its 30th congress in Vienna at the end of September, explored the issues. Individual enthusiasm takes you only...Read more
2017 08 Mar
A study from Switzerland that evaluated implementation of a stepped ethical decision-making model on three intensive care units (ICUs) and two geriatric wards found that it worked well, with staff able to find the time and confidence to solve ethical issues themselves. In addition the evaluation showed reduction in moral distress experienced by staff,...Read more
2016 24 Sep
Moral distress is a reality and should be addressed by a culture of frank disclosure and good team communication. Although it is hard to find the time and space to do this, there are things that can help, says paediatric intensivist, Daniel Garros, writing in Frontiers in Pediatrics. Garros, Staff intensivist, Clinical Professor of Pediatrics, University...Read more
2015 12 May
To help ease an organ shortage crisis in the US, ethicists from NYU Langone Medical Center have suggested a simple and ethical change in policy that would greatly expand the nation’s organ pool while respecting autonomy, choice, and vulnerability of a deceased’s family or authorised caregiver. Their proposed solution, which is described in an article...Read more
2015 12 May
Adaptive clinical trials (ACTs) represent an innovative approach to trial design and conduct, where the primary goal of adaptations is to improve scientific value and statistical efficiency. In addition to having distinguishing scientific features, ACTs also may involve ethical considerations that differ from more traditional randomised controlled trials...Read more
2013 18 Sep
Author David Crippen, MD, FCCM Professor Departments of Critical Care Medicine and Neurological Surgery University of Pittsburgh Medical Center Pittsburgh,USA With a shortage of donor organs worldwide, measures are needed to improve rates of organ donation. In this paper Prof. David Crippen proposes that...Read more
2013 15 Aug
Treatment of the critically ill is usually only infrequently debated in public in Norway. However, in the last two years there have been a few ICU cases that have generated a large amount of public interest in Norway. In these cases, the issue usually stems from a conflict between ICU physicians and relatives regarding ending life sustaining treatment....Read more