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Contemporary European perspectives on the ethics of end of life care

EMMERICH, N. ; MALLIA, P. ; GORDIJN, B. ; PISTOIA, F.
Springer , 05/2020 , 412 p.

Is withdrawing treatment really more problematic than withholding treatment?

CAMERON, James ; SAVULESCU, Julian ; WILKINSON, Dominic
Journal of medical ethics, 25/05/2020, p. 1-5

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The inner lives of doctors - physician emotion in the care of the seriously ill

CHILDERS, Julie ; ARNOLD, Bob
The American journal of bioethics, 01/01/2019, vol.19, n°12, p. 29-34

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Prognosis and futility in neurosurgical emergencies - a review

ANDERSON, Emily ; KRYZANSKI, James
Clinical neurology and neurosurgery, 07/05/2020, vol.195, Pagination inconnue

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Palliative care, resuscitation status, and end-of-life considerations in pediatric anesthesia

ERONDU, Mgbechi U. ; MAHONEY, Daniel P.
Current opinion in anaesthesiology, 06/2020, vol.33, n°3, p. 354-360

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Withholding or withdrawing life support in long-term neurointensive care patients - a single-centre, prospective, observational pilot study

STEFANOU, Maria-Ioanna ; SULYOK, Mihaly ; KOEHNLEIN, Martin ; SCHEIBE, Franziska ; FLEISCHMANN, Robert ; HOFFMANN, Sarah ; HOTTER, Benjamin ; ZIEMANN, Ulf ; MEISEL, Andreas ; MENGEL, Annerose Maria
Journal of medical ethics, 05/05/2020, Pagination inconnue

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Allocating scarce resources and triaging patients during the Covid-19 pandemic

KIRKPATRICK, James N. ; HULL, Sarah C. ; FEDSON, Savitri ; MULLEN, Brendan ; GOODLIN, Sarah J.
Journal of the American College of Cardiology, 08/05/2020, p. 1-24

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Denying ventilators to Covid-19 patients with prior DNR orders is unethical

GUTMANN KOCH, Valerie ; HAN, Susie A.
The Hastings Center, 21/04/2020, p. 1-4

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Infection Covid-19 chez les personnes âgées en Suisse romande - un état des lieux entre croyances, convictions et certitudes

NGUYEN, Sylvain ; MAJOR, Kristof ; COCHET, Camille ; BIZZOZZERO, Tosca ; BARBAROSSA, Luca ; BOSSHARD, Wanda ; HUMBERT, Marc ; RUBLI, Eve ; JOX, Ralf ; D'AMELIO, Patrizia ; BULA, Christophe
Revue médicale Suisse, 29/04/2020, vol.16, n°N° 691-692, p. 835-838

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Is it wrong to prioritise younger patients with Covid-19?

ARCHARD, Dave ; CAPLAN, Arthur
BMJ, 22/04/2020, vol.369, p. 1-2

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Ventilator triage policies during the Covid-19 pandemic at U.S. hospitals associated with members of the Association of Bioethics Program Directors

MATHENY ANTOMMARIA, Armand H. ; GIBB, Tyler S. ; MCGUIRE, Amy L. ; WOLPE, Paul Root ; WYNIA, Matthew K. ; APPLEWHITE, Megan K. ; CAPLAN, Arthur ; DIEKEMA, Douglas S. ; HESTER, D. Micah ; LEHMANN, Lisa Soleymani ; McLEOD-SORDJAN, Renee ; SCHIFF, Tamar ; TABOR, Holly K. ; WIETEN, Sarah E. ; EBERL, Jason T.
Annals of internal medicine, 24/04/2020, Pagination inconnue

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Thème : Ethique et déontologie.

EPIDEMIE ; ETHIQUE SOIN ; VENTILATION ARTIFICIELLE ; ETATS-UNIS ; DECISION MEDICALE

Background: The coronavirus disease 2019 pandemic has or threatens to overwhelm health care systems. Many institutions are developing ventilator triage policies.
Objective: To characterize the development of ventilator triage policies and compare policy content.
Design: survey and mixed-methods content analysis.
Setting: North American hospitals associated with members of the Association of Bioethics Program Directors.
Participants: Program directors.
Measurements: Characteristics of institutions and policies, including triage criteria and triage committee membership.
Results: sixty-seven program directors responded (response rate, 91.8%); 36 (53.7%) hospitals did not yet have a policy, and 7 (10.4%) hospitals' policies could not be shared. The 29 institutions providing policies were relatively evenly distributed among the 4 U.S. geographic regions (range, 5 to 9 policies per region). Among the 26 unique policies analyzed, 3 (11.3%) were produced by state health departments. The most frequently cited triage criteria were benefit (25 policies [96.2%]), need (14 [53.8%]), age (13 [50.0%]), conservation of resources (10 [38.5%]), and lottery (9 [34.6%]). Twenty-one (80.8%) policies use scoring systems, and 20 of these (95.2%) use a version of the Sequential Organ Failure Assessment score. Among the policies that specify the triage team's composition (23 [88.5%]), all require or recommend a physician member, 20 (87.0%) a nurse, 16 (69.6%) an ethicist, 8 (34.8%) a chaplain, and 8 (34.8%) a respiratory therapist. Thirteen (50.0% of all policies) require or recommend those making triage decisions not be involved in direct patient care, but only 2 (7.7%) require that their decisions be blinded to ethically irrelevant considerations.
Limitation: the results may not be generalizable to institutions without academic bioethics programs.
Conclusion: Over one half of respondents did not have ventilator triage policies. Policies have substantial heterogeneity, and many omit guidance on fair implementation.

Origine : DOI.org (Crossref

Implication of the life-sustaining treatment decisions act on end-of-life care for Korean terminal patients

KIM, Jung Sun ; YOO, Shin Hye ; CHOI, Wonho ; KIM, Yejin ; HONG, Jinui ; KIM, Min Sun ; PARK, Hye Yoon ; KEAM, Bhumsuk ; HEO, Dae Seog
Cancer research and treatment, 23/03/2020, p. 1-22

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The impact of the duration of the palliative care period on cancer patients with regard to the use of hospital services and the place of death - a retrospective cohort study

HIRVONEN, Outi M. ; LESKELA, Riikka-Leena ; GRÖNHOLM, Lotta ; HALTIA, Olli ; VOLTTI, Samuli ; TYYNELA-KORHONEN, Kristiina ; RAHKO, Eeva K. ; LEHTO, Juho T. ; SAARTO, Tiina
BMC palliative care, 2020, vol.19, n°1, p. 1-9

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Ethical content of expert recommendations for end-of-life decision-making in intensive care units - a systematic review

SPOLJAR, Diana ; CURKOVIC, Marko ; GASTMANS, Chris ; GORDIJN, Bert ; VRKIC, Dina ; JOZEPOVIC, Ana ; VULETIC, Suzana ; TONKOVIC, Dinko ; BOROVECKI, Ana
Journal of critical care, 08/2020, vol.58, p. 10-19

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A framework for rationing ventilators and critical care beds during the COVID-19 pandemic

WHITE, Douglas B. ; LO, Bernard
JAMA, 27/03/2020, p. E1-E2

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Fair allocation of scarce medical resources in the time of Covid-19

EMANUEL, Ezekiel J. ; PERSAD, Govind ; UPSHUR, Ross ; THOME, Beatriz ; PARKER, Michael ; GLICKMAN, Aaron ; ZHANG, Cathy ; BOYLE, Connor ; SMITH, Maxwell ; PHILLIPS, James P.
The New England journal of medicine, 23/03/2020, p. 1-7

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The toughest triage - allocating ventilators in a pandemic

TRUOG, Robert D. ; MITCHELL, Christine ; DALEY, George Q.
The New England journal of medicine, 23/03/2020, p. 1-3

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Dying in the intensive care unit (ICU) - a retrospective descriptive analysis of deaths in the ICU in a communal tertiary hospital in Germany

AY, Esma ; WEIGAND, Markus A. ; ROHRIG, Rainer ; GRUSS, Marco
Anesthesiology research and practice, 2020, vol.2020, p. 1-10

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Tracey judgement and hospice DNACPR orders - steady as she goes or seismic change?

MACFARLANE, Michael ; SHAYLER, Stephanie ; NELMS, Louisa ; WILLIS, Derek ; WM CARES GROUP
BMJ supportive and palliative care, 12/2019, vol.9, n°4, Pagination inconnue

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Burying our mistakes - dealing with prognostic uncertainty after severe brain injury

GRAHAM, Mackenzie
Bioethics, 02/03/2020, p. 1-8

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