Ethically based decisions in intensive care medicine

被引:0
|
作者
Joebges, Susanne [1 ,20 ]
Dutzmann, Jochen [2 ]
Barndt, Iris [3 ]
Burchardi, Hilmar
Duttge, Gunnar [4 ]
Grautoff, Steffen [5 ]
Gretenkort, Peter [6 ]
Hartog, Christiane [7 ,8 ]
Knochel, Kathrin [9 ,10 ]
Nauck, Friedemann [11 ]
Neitzke, Gerald [12 ]
Meier, Stefan [13 ]
Michalsen, Andrej [14 ]
Rogge, Annette [15 ]
Salomon, Fred
Seidlein, Anna-Henrikje [16 ]
Schumacher, Ralph [17 ]
Riegel, Raffael [18 ]
Stopfkuchen, Herwig
Janssens, Uwe [19 ]
机构
[1] Charite Univ Med Berlin, Klin Anasthesiol Schwerpunkt Operat Intens Med, Berlin, Germany
[2] Univ Klinikum Halle Saale, Univ Klin & Poliklin Innere Med 3, Halle, Saale, Germany
[3] Ruhr Univ Bochum, Univ Klinikum Johannes Wesling, Klin Kardiol & Internist Intens Med, Minden, Germany
[4] Georg August Univ Gottingen, Abt Strafrechtl Med & Biorecht, Gottingen, Germany
[5] Klinikum Herford, Herford, Germany
[6] Helios Klinikum Krefeld, Simulat & Notfallakad, Krefeld, Germany
[7] Charite Univ Med Berlin, Klin Anasthesiol & Intens Med, Kreischa, Germany
[8] Klin Bavaria, Patienten & Angehorigenzen Trierte Versorgung PAV, Kreischa, Germany
[9] Tech Univ Munich, Klinikum Univ Munchen, Kinderklin & Kinderpoliklin Dr von Haunerschen, Kinderspital Kinderpalliativzentrum, Munich, Germany
[10] Tech Univ Munich, Eth Med & Gesundheitstechnol, Munich, Germany
[11] Georg August Univ Gottingen, Klin Palliat Med, Gottingen, Germany
[12] Hannover Med Sch, Inst Eth Philosophie & Geschichte Med, Hannover, Germany
[13] Univ Klinikum Dusseldorf, Klin Anasthesiol, Dusseldorf, Germany
[14] Klinikum Konstanz, Klin Anasthesiol Intens Med Notfallmed & Schmerzth, Constance, Germany
[15] Paracelsus Nordseeklin Helgoland, Helgoland, Germany
[16] Univ Med Greifswald, Inst Eth & Geschichte Med, Greifswald, Germany
[17] SAPV Mettmann GmbH, Velbert, Germany
[18] Betriebsstatte St Josef Hosp, Abt Anasthesie & Intens Med, GFO Kliniken Bonn, Bonn, Germany
[19] St Antonius Hosp Eschweiler, Klin Innere Med & Internist Intens Med, Eschweiler, Germany
[20] Charite Univ Med Berlin, Klin Anasthesiol & Intens Med, Campus Virchow Klinikum, Augustenburger Pl 1, D-13353 Berlin, Germany
关键词
FAMILY-CENTERED CARE; PALLIATIVE CARE; ICU; UNIT; GUIDELINES; RELATIVES; SERVICES; STRATEGY; THERAPY; IMPACT;
D O I
10.1055/a-2211-9608
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The process recommendations of the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) for ethically based decision-making in intensive care medicine are intended to create the framework for a structured procedure for seriously ill patients in intensive care. The processes require appropriate structures, e.g., for effective communication within the treatment team, with patients and relatives, legal representatives, as well as the availability of palliative medical expertise, ethical advisory committees and integrated psychosocial and spiritual care services. If the necessary competences and structures are not available in a facility, they can be consulted externally or by telemedicine if necessary. The present recommendations are based on an expert consensus and are not the result of a systematic review or a meta-analysis.
引用
收藏
页码:52 / 57
页数:6
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