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.

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.

The respiratory system

2021 ◽  
pp. 127-133
Author(s):  
Antoine Vieillard-Baron
Keyword(s):  
Respiratory System ◽  
Monitoring Device ◽  
Positive End Expiratory Pressure ◽  
System Monitoring ◽  
Airway Pressures ◽  
System P ◽  
Respiratory Management ◽  
Reliable Monitoring

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 respiratory system

2015 ◽  
Author(s):  
Antoine Vieillard-Baron
Keyword(s):  
Respiratory System ◽  
Monitoring Device ◽  
Positive End Expiratory Pressure ◽  
System Monitoring ◽  
Airway Pressures ◽  
System P ◽  
Respiratory Management ◽  
Reliable Monitoring

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

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.

The ESC Textbook of Intensive and Acute Cardiovascular Care

2015 ◽  
Keyword(s):  
Healthcare Professionals ◽  
Ethical Issues ◽  
Laboratory Medicine ◽  
Cardiac Care ◽  
Emergency Physicians ◽  
Donor Organ ◽  
Organizational Issues ◽  
Care Association ◽  
Cardiovascular Care ◽  
Acute Cardiac Care

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACCA) of the ESC. This new updated edition continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care. It is addressed to all those involved in intensive and acute cardiac care, from cardiologists to emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment, but also organizational issues, cooperation among professionals, and interaction with other specialities in medicine. The largest section of the textbook is devoted to non-cardiac disease which could acutely involve the cardiovascular system. Other noteworthy chapters are on ethical issues important in acute cardiac care, such as patient safety, donor organ management and palliative care. A unique characteristic of the title is the presence of a whole section devoted to biomarkers, which underline the growing importance of laboratory medicine in the field of intensive and acute cardiac care.

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