期刊
CRITICAL CARE CLINICS
卷 25, 期 1, 页码 221-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ccc.2008.10.002
关键词
Biomedical ethics; End-of-life care; Withholding and withdrawing life-sustaining therapy; Cardiopulmonary resuscitation; Do-not-resuscitate orders; Critical care medicine
资金
- Greenwall Foundation Bioethics Faculty Scholars Award
- NIH [K12 RR024130]
- NATIONAL CENTER FOR RESEARCH RESOURCES [KL2RR024130] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON AGING [K23AG032875] Funding Source: NIH RePORTER
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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