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首页> 外文期刊>Journal of Nursing Education and Practice >Guidelines for supporting a pregnant patient with brain death: A case discussion and literature review
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Guidelines for supporting a pregnant patient with brain death: A case discussion and literature review

机译：支持孕妇脑死亡的指南：病例讨论和文献复习

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摘要

Brain death implies irreversible cessation of the brainstem function. While it is generally considered unethical and futile to continue to support vital organs once a diagnosis of brain death has been made, patients who are both pregnant and brain dead complicate this issue because the appropriateness of continuing maternal somatic support to prolong gestation to delivery is still debated. This article will review the literature, and open up dialogue, about the need for guidelines and recommendations in anesthesia care, including the ethics, legality, and cost of supporting the mother’s life to save an unborn child, when somatically supporting pregnant patients who are brain dead, are in a persistent vegetative state (PVS), or are in a coma due to irreversible brain injury. Making a case for or against supporting such patients is outside the scope of this paper. This review finds that the need for guidelines to assist healthcare professionals in providing care to somatically supported mother is necessary.
机译：脑死亡意味着脑干功能不可逆转地停止。虽然通常认为一旦诊断出脑死亡就继续支持重要器官是不道德的且徒劳的，但是孕妇和脑死亡的患者使这一问题复杂化，因为仍然需要持续的母体支持以延长妊娠至分娩的适宜性辩论。本文将回顾有关麻醉护理中指南和建议的必要性的文献，并展开对话，包括在以身体方式支持大脑的怀孕患者时，伦理，合法性以及支持母亲生命挽救未出生婴儿的成本死亡，处于永久性植物状态（PVS）或由于不可逆的脑损伤而处于昏迷状态。为此类患者提供支持或反对的理由不在本文讨论范围之内。这项审查发现，需要指南来帮助医疗保健专业人员为受身体支持的母亲提供护理。

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