scholarly journals Withholding and withdrawing life support in critical care settings: ethical issues concerning consent

2007 ◽  
Vol 33 (4) ◽  
pp. 215-218 ◽  
Author(s):  
E Gedge ◽  
M Giacomini ◽  
D Cook
Keyword(s):  
Critical Care ◽  
Life Support ◽  
Ethical Issues

scholarly journals Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care

2021 ◽  
Author(s):  
Stuti Pant
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Life Support ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
Human Life ◽  
Traumatic Experiences ◽  
National Guidelines ◽  
Brain Injured ◽  
Discharge Against Medical Advice

AbstractAmongst all the traumatic experiences in a human life, death of child is considered the most painful, and has profound and lasting impact on the life of parents. The experience is even more complex when the death occurs within a neonatal intensive care unit, particularly in situations where there have been conflicts associated with decisions regarding the redirection of life-sustaining treatments. In the absence of national guidelines and legal backing, clinicians are faced with a dilemma of whether to prolong life-sustaining therapy even in the most brain-injured infants or allow a discharge against medical advice. Societal customs, vagaries, and lack of bereavement support further complicate the experience for parents belonging to lower socio-economic classes. The present review explores the ethical dilemmas around neonatal death faced by professionals in India, and suggests some ways forward.

Ethical Issues in Critical Care

1990 ◽  
Vol 9 (4) ◽  
pp. 224-230 ◽  
Author(s):  
Ginger Schafer Wlody
Keyword(s):  
Critical Care ◽  
Ethical Issues

Law and ethics in intensive care

2020 ◽  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Medicine ◽  
Ethical Issues ◽  
Daily Basis ◽  
Scarce Resources ◽  
Ethical Concerns ◽  
Law And Ethics ◽  
Invasive Management ◽  
Legal And Ethical Issues

The practice of intensive care medicine raises multiple legal and ethical issues on a daily basis, making it increasingly difficult to know whom to admit and when, at what stage invasive management should be withdrawn, and who, importantly, should decide? These profound dilemmas, already complicated in a setting of scarce resources, mandate an understanding of law and ethics for those working in intensive care medicine. Clinically focused, the book explains the relevance of landmark rulings to aid the day-to-day decision making of critical care professionals. A spectrum of ethical and legal controversies in critical care are addressed to demonstrate how law and ethics affect the care available to patients, and how patients’ responses to advances in treatment in turn influence legal and ethical concerns. Discussion of conflict resolution advises on the options that are open to doctors when agreement on treatment decisions or withdrawal cannot be reached. The literature and variations surrounding ‘Do not attempt resuscitation’ (DNAR) decisions are outlined. This edition also provides an up-to-date analysis of issues such as futility and deprivation of liberty.

Critical Care Medicine

2012 ◽  
Author(s):  
Otis B. Rickman
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Critical Care ◽  
Distress Syndrome ◽  
Life Support ◽  
Venous Access ◽  
Critical Care Medicine ◽  
Organ Support ◽  
Disease States ◽  
Cardiopulmonary Monitoring

Critical care medicine is a multidisciplinary branch of medicine encompassing the provision of organ support to patients who are severely ill. All areas of medicine may have relevance for critically ill patients; however, this review focuses only on aspects of cardiopulmonary monitoring, life support, technologic interventions, and disease states typically managed in the intensive care unit (ICU). Airway management, venous access, respiratory failure, mechanical ventilation, acute respiratory distress syndrome, shock, and sepsis are reviewed.

Ethical Issues from Critical Care to Rehabilitation

2001 ◽  
Vol 13 (3) ◽  
pp. 341-347
Author(s):  
Dana Bjarnason ◽  
Cheryl Lehman
Keyword(s):  
Critical Care ◽  
Ethical Issues

Managing the Monitors: An Analysis of Alarm Silencing Activities during an Anesthetic Procedure

2000 ◽  
Vol 44 (26) ◽  
pp. 250-253 ◽  
Author(s):  
Yan Xiao ◽  
Colin F. Mackenzie ◽  
F. Jacob Seagull ◽  
Mahmood Jaberi
Keyword(s):  
Critical Care ◽  
Airway Management ◽  
Patient Monitoring ◽  
Life Support ◽  
Attention Allocation ◽  
Trauma Patients ◽  
Care Providers ◽  
The Real ◽  
Patient Status ◽  
Monitoring Devices

Patient monitoring devices are designed to assist users in obtaining information on the patient and life-support equipment status. Most of the these devices have built-in visual and auditory alarms, which are to help the user to manage attention allocation. In this presentation we describe an analysis of the interaction between care providers and the monitoring devices during an anesthetic procedure (airway management) for trauma patients in the real environment. The videotapes of 47 cases were analyzed by coding the activities in silencing auditory alarms. In majority of the cases (87%) alarms could be heard yet only a small portion of the cases (6%) contained patient status events that signified by the alarm conditions. Care providers were frequently forced to interrupt clinical tasks to silence alarms. The differences in silencing frequency and rapidity among different monitoring devices suggest that alarms could be designed to be less intrusive and more tolerable, thus making the monitors easier to manage in critical care settings

Ethical Issues in Surgical Critical Care

2016 ◽  
Vol 31 (7) ◽  
pp. 442-450 ◽  
Author(s):  
Malini D. Sur ◽  
Peter Angelos
Keyword(s):  
Critical Care ◽  
Ethical Issues ◽  
Surgical Critical Care
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