Document Detail

[Ethics consultations in intensive care medicine].
MedLine Citation:
PMID:  22273821     Owner:  NLM     Status:  In-Data-Review    
INTRODUCTION: An increase in ethical conflicts is being observed in the modern intensive care setting, as more complex therapeutic strategies are available and the treatment of old and very old patients is integrated into the clinical routine due to changes in medical options and social epidemiology. Physicians, nurses and families need ethical support to come to a decision about medical treatment when value conflicts are involved.
METHODS: The basis of medical ethics is reported followed by a presentation of personal experiences and a reference overview regarding the impact of ethics consultations.
RESULTS: Common ethical conflicts in the intensive care setting result from the lack of precise knowledge on patient preferences and due the use of modern "high-tech" intensive care medicine the prognosis of recovery and quality of life of (old) patients seems to be difficult to assess. Ethical definitions of treatment perspectives will find an important and increasing place in intensive care competence in the future, although currently there is a lack of theoretical and practical instruction in ethics. The goal of ethics consultations is to help physicians, nurses and family members by a structuration of the problem and by a moderation of discussion and problem resolution including a special ethical workflow. Ethics consultations seem to be useful in resolving conflicts that may inappropriately prolong unwanted treatment.
CONCLUSIONS: The increase of the incidence of ethical conflicts in the intensive care setting may impact ethics consultations which help the integration of ethical principles into the clinical practice.
T Bein; B M Graf
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Der Anaesthesist     Volume:  61     ISSN:  1432-055X     ISO Abbreviation:  Anaesthesist     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370525     Medline TA:  Anaesthesist     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  6-13     Citation Subset:  IM    
Klinik für Anästhesiologie, Universitätsklinikum, 93042, Regensburg, Deutschland,
Vernacular Title:
Ethische Fallberatung in der Intensivmedizin.
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