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Ethical Criteria for the Admission and Management of Patients in the ICU Under Conditions of Limited Medical Resources: A Shared International Proposal in View of the COVID-19 Pandemic

机译:在有限的医疗资源条件下,ICU患者入院和管理的道德标准:鉴于Covid-19大流行的共同国际提案

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The present pandemic has exposed us to unprecedented challenges that need to be addressednot just for the current state, but also for possible future similar occurrences. It is worthpointing out that discussions on the allocation of medical resources may not necessarily referto an exception, but, unfortunately, to a regular condition for a large part of humanity (1). The criteria for admission to an Intensive Care Unit (ICU) settinggenerally take into account multiple factors. There must bea diagnostic and prognostic basis for the decisions made,considering both biological factors and patient values and wishes.Furthermore, the decision-making process should, wheneverpossible, respect the patient’s advance directives as well as therelationship with the patient’s family or attorney. Therapeuticneglect should be avoided.
机译:目前的大流行暴露了我们才能为目前的国家进行讨论的前所未有的挑战,也是可能的未来类似的出现。 值得关注的是,关于医疗资源分配的讨论可能不一定会引用例外,但不幸的是,对于大部分人类的常规条件(1)。 入院的标准(ICU)奠定了多种因素。 必须有BEA诊断和预后基础,了解生物因素和患者价值观和愿望。繁殖,决策过程应该,无,尊重患者的预先指令以及与患者家庭或律师的主导。 应该避免治疗疗法。

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