Therapeutic termination in cardiological intensive care units: decision-making criteria between ethics and clinical studies

被引：2
|
作者：
Romano, Massimo [1 ]
机构：
[1] Azienda Osped Prov Pavia, Osped Vigevano, SC Cardiol, Pavia, Italy
来源：
GIORNALE ITALIANO DI CARDIOLOGIA | 2011年 / 12卷 / 01期
关键词：
Coronary artery disease; Coronary care units; Palliative care; Withdrawing treatment; Withholding treatment;
D O I：
10.1714/547.6499
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
In the last years dramatic changes in clinical and epidemiological characteristics of patients admitted to cardiac intensive care units have been observed. Aging population, non-ischemic cardiovascular diseases, acute and chronic severe comorbidities, all increased the susceptibility to develop life-threatening critical settings. In this context, palliative care programs are needed more frequently. In this review, the ethical and clinical criteria to withdrawing and withholding artificial cardiocirculatory, respiratory and renal supports are analyzed, as well as the cultural delays of cardiologists involved in this peculiar clinical setting.
引用
收藏
页码：50 / 57
页数：8
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