期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

ICU不能回避的课题:生命支持系统的撤除 被引量：4

Withdrawal of Life-Sustaining Treatments in the ICU
下载PDF
导出
摘要 ICU内生命支持系统不但应得到充分的使用,在适当的时候也应予以撤除。"适当"包括两方面含义:患者已经康复和患者已无可能康复,共同点在于继续使用生命支持系统已经无助于患者及家人的福祉。患者终末期管理已成为ICU专门领域,与其他专门领域同样需要相当的知识与能力。 Not only should life--sustaining treatments be used widely in the intensive care unit, but also should be withdrawn in the right time, that is when the patients are completely recovered, or are impossible to return to a meaningful life and further life support is considered futile. End-- of- life care is emerging as a comprehensive area of expertise in the ICU and it demands the same high level of knowledge and competence as all other areas of ICU practice.
作者 王雪松 杨新良 刘玮
机构地区 解放军第
出处 《医学与哲学（B）》 2009年第12期66-68,共3页 Medicine & Philosophy(B)
关键词 ICU 生命支持系统 撤除 ICU, life support, withdrawal
分类号 R459.7 [医药卫生—急诊医学]
  • 相关文献

参考文献8

  • 1Gries C J,Curtis J R,Wall R J.Family member satisfaction with end-of-life decision making in the ICU[].Chest.2008
  • 2Truog R D,Campbell ML,Curtis J R.Recommendations for end-of life care in the intensive care unit:a consensus statement by the American college[].Critical Care Medicine.2008
  • 3Meisel,A,Snyder,L,Quill,T.Seven legal barriers to end-of-life care: myths, realities and grains of truth[].The Journal of The American Medical Association.2000
  • 4T. E. Quill,I. R. Byock.Responding to intractable terminal suffering: The role of terminal sedation and voluntary refusal of food and fluids[].Annals of International Medicine.2000
  • 5Thompson,BT,Cox,PN,Antonelli,M,Carlet,JM,Cassell,J,Hill,NS,Hinds,CJ,Pimentel,JM,Reinhart,K,Thijs,LG.Challenges in end-of-life care in the ICU: statement of the 5th International Consensus Conference in Critical care: Brussels, Belgium, April 2003; Executive summary[].Critical Care Medicine.2004
  • 6Rubenfeld,GD.Principles and practice of withdrawing life-sustaining treatments[].Critical Care Clinics.2004
  • 7PD Treece,RA Engelberg,L Crowley.Evaluation of a standardized order form for the withdrawal of life support in the intensive care unit[].Critical Care Medicine.2004
  • 8van der,Werf,TS,Zijlstra,JG,Ligtenberg,JJ,Tulleken,JE.Decisions around the end of life on intensive care: making the transition from curative to palliative treatment[].Nederlands Tijdschrift Voor Geneeskunde.2005

同被引文献45

  • 1卫生部办公厅关于印发《重症医学科建设与管理指南(试行)》的通知[J].中华人民共和国卫生部公报,2009(7):45-48. 被引量：11
  • 2张大庆.临床决策:医学哲学研究的一个重要领域[J].医学与哲学,2004,25(12):17-20. 被引量：35
  • 3娄长春,颜红军.临终决定[J].医学与哲学,1993,14(2):52-53. 被引量：2
  • 4Adhikari N K, Fowler R A, Bhagwanjee S, et al.Critical care and the global burden of critical illness in adults[J]. Lancet, 2010,376 (9749):1339-1346.
  • 5Angus D C, Barnato A E, Linde-Zwirble W T, et al. Use of intensive care at the end of life in the United States: An epiderniologic study[J].Crit Care Med, 2004,32 (3) : 638-643.
  • 6The SUPPORT Principal Investigators.A controlled trial to improve care for seriously ill hospitalized patients.The study to understand prognoses and preferences for out- comes and risks of treatments (SUPPORT)[J].JAMA, 1995,274(20) : 1591-1598.
  • 7Cook D, Rocker G. Dying with dignity in the intensive care unit[J].N Engl J Meal,2014,:370(26) ,2506-2514.
  • 8Lanken P N,Terry P B,Delisser H M,et al. An official American thoracic society clinical policy statement:Palli- ative care for patients with respiratoi'y diseases and criti- cal illnesses[J].Am J Respir Crit Care Med, 2008,177 (8):912-927.
  • 9Scheunemann L P,Arnold R M,White D B.The facilita- ted values history: Helping surrogates make authentic decisions for incapacitated patients with advanced illness [J].Am J Respir Crit Care Meal,2012,186(6) :480-486.
  • 10Drazen J M. Decisions at the end of life [J].N Engl J Med,2003,349(12) : 1109-1110.

引证文献4

二级引证文献16

医学与哲学（B）
2009年 第12期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部