Ethics of the cardiopulmonary resuscitation decisions

被引：22

作者：

Monzon, J. L. ^{[1
]}

Saralegui, I. ^{[2
]}

Molina, R. ^{[3
]}

Abizanda, R. ^{[4
]}

Cruz Martin, M. ^{[5
]}

Cabre, L.

Martinez, K. ^{[6
]}

Arias, J. J. ^{[7
]}

Lopez, V. ^{[8
]}

Gracia, R. M. ^{[9
]}

Rodriguez, A. ^{[10
]}

Masnou, N. ^{[9
,11
]}

机构：

[1] Hosp San Pedro, Unidad Med Intens, Logrono, Spain

[2] Hosp Santiago, Unidad Med Intens, Vitoria, Spain

[3] SCIAS Hosp Barcelona, SEMICYUC, Com Direct Plan Nacl RCP, Serv Med Intens, Barcelona, Spain

[4] Hosp Gen Castello, Serv Med Intens, Castellon de La Plana, Spain

[5] Hosp Nuestra Senora Amer, Serv Med Intens, Madrid, Spain

[6] Hosp Navarra, UCI, Pamplona, Spain

[7] Hosp SAS de Jerez, Serv Cuidados Crit & Urgencias, Cadiz, Spain

[8] Hosp Sagunt, UCI, Valencia, Spain

[9] Hosp Univ Vall dHebron, Serv Med Intens, Barcelona, Spain

[10] Hosp Univ Virgen del Rocio, SCCU, Seville, Spain

[11] Hosp Univ Vall dHebron, Serv Transplantes, Barcelona, Spain

来源：

MEDICINA INTENSIVA | 2010年 / 34卷 / 08期

关键词：

Cardiopulmonary resuscitation; Cardiac arrest; Ethics; Life support care; Medical futility; Do-not-resuscitate order; Communication; Non-heart-beating organ donation; Education; Research; HOSPITAL CARDIAC-ARREST; INTENSIVE-CARE UNITS; WITNESSED RESUSCITATION; COMATOSE SURVIVORS; COUNCIL GUIDELINES; AMERICAN-ACADEMY; ORGAN DONATION; LIFE-SUPPORT; FAMILY; PROGNOSIS;

D O I：

10.1016/j.medin.2010.04.013

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cardiopulmonary Resuscitation (CPR) must be attempted if indicated, not done if it is not indicated or if the patient does not accept or has previously rejected it and withdrawn it if it is ineffective. If CPR is considered futile, a Do-Not-Resuscitate Order (DNR) will be recorded. This should be made known to all physicians and nurses involved in patient care. It may be appropriate to limit life-sustaining-treatments for patients with severe anoxic encephalopathy, if the possibility of clinical evolution to brain death is ruled out. After CPR it is necessary to inform and support families and then review the process in order to make future improvements. After limitation of vital support, certain type of non-heart-beating-organ donation can be proposed. In order to acquire CPR skills, it is necessary to practice with simulators and, sometimes, with recently deceased, always with the consent of the family. Research on CPR is essential and must be conducted according to ethical rules and legal frameworks. (C) 2010 Elsevier Espana, S.L. and SEMICYUC. All rights reserved.

引用

页码：534 / 549

页数：16

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