Ethical issues in cardiac arrest and acute cardiac care: a European perspective

2021 ◽  
pp. 43-53
Author(s):  
Jean-Louis Vincent ◽  
Jacques Creteur
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Ethical Issues ◽  
Cardiac Care ◽  
Ethical Perspective ◽  
Mortality And Morbidity ◽  
Good Communication ◽  
Ethical Decisions ◽  
Artery Disease ◽  
Acute Cardiac Care

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.

Ethical issues in cardiac arrest and acute cardiac care: a European perspective

2017 ◽  
Author(s):  
Jean-Louis Vincent
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Ethical Issues ◽  
Health Care Team ◽  
Cardiac Care ◽  
Ethical Perspective ◽  
Mortality And Morbidity ◽  
Good Communication ◽  
Number Of Patients ◽  
Acute Cardiac Care

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.

Ethical issues in cardiac arrest and acute cardiac care: a European perspective

2018 ◽  
Author(s):  
Jean-Louis Vincent
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Ethical Issues ◽  
Health Care Team ◽  
Cardiac Care ◽  
Ethical Perspective ◽  
Mortality And Morbidity ◽  
Good Communication ◽  
Number Of Patients ◽  
Acute Cardiac Care

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.

scholarly journals It’s Not All about Echocardiography. Open the Lung Window for the Cardiac Emergencies

Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 69
Author(s):  
Eftihia Polyzogopoulou ◽  
Antonios Boultadakis ◽  
Ignatios Ikonomidis ◽  
John Parissis
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Chest Pain ◽  
Care Setting ◽  
Cardiac Care ◽  
Lung Ultrasonography ◽  
Clinical Presentations ◽  
Cardiac Emergencies ◽  
Lung Window ◽  
Acute Cardiac Care

In the acute cardiac care setting, undifferentiated clinical presentations such as dyspnea, chest pain, shock, and cardiac arrest are common diagnostic challenges for the clinician. Lung ultrasonography is a well-established diagnostic tool which can be integrated in simplified decision making algorithms during the initial approach of the patient, in order to differentiate accurately cardiac from non-cardiac causes and improve the management of time-sensitive cardiovascular emergencies.

Ethical issues in cardiac arrest and acute cardiac care: a European perspective

2015 ◽  
Author(s):  
Jean-Louis Vincent
Keyword(s):  
Cardiac Arrest ◽  
Respiratory System ◽  
Ethical Issues ◽  
Cardiac Care ◽  
Monitoring Device ◽  
European Perspective ◽  
Positive End Expiratory Pressure ◽  
Respiratory Management ◽  
Reliable Monitoring ◽  
Acute Cardiac Care

The respiratory system is key to the management of patients with respiratory, as well as haemodynamic, compromise and should be monitored. The ventilator is more than just a machine that delivers gas; it is a true respiratory system monitoring device, allowing the measurement of airway pressures and intrinsic positive end-expiratory pressure and the plotting of pressure/volume curves. For effective and reliable monitoring, it is necessary to keep in mind the physiology, such as the alveolar gas equation, heart-lung interactions, the equation of movement, etc. Monitoring the respiratory system enables adaptation of not only respiratory management, but also haemodynamic management.

Ethical issues in cardiac arrest and acute cardiac care: a European perspective

2016 ◽  
Author(s):  
Jean-Louis Vincent
Keyword(s):  
Cardiac Arrest ◽  
Respiratory System ◽  
Ethical Issues ◽  
Cardiac Care ◽  
Monitoring Device ◽  
European Perspective ◽  
Positive End Expiratory Pressure ◽  
Respiratory Management ◽  
Reliable Monitoring ◽  
Acute Cardiac Care

The respiratory system is key to the management of patients with respiratory, as well as haemodynamic, compromise and should be monitored. The ventilator is more than just a machine that delivers gas; it is a true respiratory system monitoring device, allowing the measurement of airway pressures and intrinsic positive end-expiratory pressure and the plotting of pressure/volume curves. For effective and reliable monitoring, it is necessary to keep in mind the physiology, such as the alveolar gas equation, heart-lung interactions, the equation of movement, etc. Monitoring the respiratory system enables adaptation of not only respiratory management, but also haemodynamic management.

The heart team in acute cardiac care

2018 ◽  
Author(s):  
Arie Pieter Kappetein ◽  
Christiaan Antonides ◽  
Stephan Windecker
Keyword(s):  
Decision Making ◽  
One Health ◽  
Positive Impact ◽  
Cardiac Care ◽  
Heart Team ◽  
Specialty Area ◽  
Acute Setting ◽  
Roles And Responsibilities ◽  
Acute Cardiac Care

The complexity of acute cardiac care today makes it necessary that patients are looked after by more than one health care professional. Complex tasks require complex systems. Teamwork is essential for minimizing adverse events caused by miscommunication and misunderstanding about roles and responsibilities, and it can have an immediate and positive impact on the patient. The increasing complexity and specialization of care of the cardiac patient in the acute setting, combined with an ever increasing number of therapeutic options, make it necessary to coordinate teams of doctors for each specialty area. Multidisciplinary decision making optimizes care and is mandatory in light of evolving options and improvement of quality of care and will lead to more efficiency.

Ethical Issues for Neonatal Nurses

1998 ◽  
Vol 5 (3) ◽  
pp. 206-217 ◽  
Author(s):  
Kaye Spence
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Ethical Decision ◽  
Clinical Decision Making ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Response Rate ◽  
Clinical Decision ◽  
Neonatal Nurses ◽  
Ethical Decisions

This article examines the involvement of neonatal nurses in ethical issues, achieved through a survey of Australian neonatal nurses. The aim was to discover if nurses were involved in ethical decisions, to examine various categories of neonates and the concerns that nurses felt about them, and to determine the extent to which nurses saw themselves as advocates. A response rate of 65% was achieved from nurses in two states who worked in intensive care and special care nurseries. The findings show that nurses were more likely to be involved in clinical decision making than in ethical decision making, showed the greatest concern for infants who had an uncertain prognosis, and saw themselves as advocates for their patients. The issues surrounding these findings are examined.

The heart team in acute cardiac care

2015 ◽  
Author(s):  
Arie Pieter Kappetein ◽  
Stephan Windecker
Keyword(s):  
Decision Making ◽  
One Health ◽  
Positive Impact ◽  
Cardiac Care ◽  
Heart Team ◽  
Specialty Area ◽  
Acute Setting ◽  
Roles And Responsibilities ◽  
Acute Cardiac Care

The complexity of acute cardiac care today makes it necessary that patients are looked after by more than one health care professional. Complex tasks require complex systems. Teamwork is essential for minimizing adverse events caused by miscommunication and misunderstanding about roles and responsibilities, and it can have an immediate and positive impact on the patient. The increasing complexity and specialization of care of the cardiac patient in the acute setting make it necessary to coordinate teams of doctors for each specialty area. Multidisciplinary decision making optimizes care and is mandatory in light of evolving options and improvement of quality of care and will lead to more efficiency.

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