| A history of ethics and law in the intensive care unit. | |
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MedLine Citation:
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PMID: 19268804 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Because they provide potential benefit at great personal and public cost, the intensive care unit (ICU) and the interventions rendered therein have become symbols of both the promise and the limitations of medical technology. At the same time, the ICU has served as an arena in which many of the ethical and legal dilemmas created by that technology have been defined and debated. This article outlines major events in the history of ethics and law in the ICU, covering the evolution of ICUs, ethical principles, informed consent and the law, medical decision-making, cardiopulmonary resuscitation, withholding and withdrawing life-sustaining therapy, legal cases involving life support, advance directives, prognostication, and futility and the allocation of medical resources. Advancement of the ethical principle of respect for patient autonomy in ICUs increasingly is in conflict with physicians' concern about their own prerogatives and with the just distribution of medical resources. |
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Authors:
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John M Luce; Douglas B White |
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Publication Detail:
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Type: Historical Article; Journal Article; Legal Cases; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Critical care clinics Volume: 25 ISSN: 1557-8232 ISO Abbreviation: Crit Care Clin Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-03-09 Completed Date: 2009-07-30 Revised Date: 2011-05-09 |
Medline Journal Info:
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Nlm Unique ID: 8507720 Medline TA: Crit Care Clin Country: United States |
Other Details:
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Languages: eng Pagination: 221-37, x Citation Subset: IM |
Affiliation:
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Department of Medicine, University of California, 505 Parnassus Avenue, San Francisco, CA 94143, USA. john.luce@sfdph.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Advance Directives
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history,
legislation & jurisprudence Bioethics / history Cardiopulmonary Resuscitation / ethics, history Critical Care / ethics*, history*, legislation & jurisprudence Female History, 20th Century Humans Informed Consent / history, legislation & jurisprudence Intensive Care Units / ethics, history*, legislation & jurisprudence* Life Support Care / ethics, history, legislation & jurisprudence Medical Futility / ethics, legislation & jurisprudence Resource Allocation / ethics, history, legislation & jurisprudence Terminal Care / ethics, history, legislation & jurisprudence United States Withholding Treatment / ethics, history, legislation & jurisprudence Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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K12 RR 024130/RR/NCRR NIH HHS; K23 AG032875-01/AG/NIA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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