Elective non-therapeutic intensive care and the four principles of medical ethics
Caroline Guibet Lafaye
(1)
,
Gérard Audibert
(2)
,
Antoine Baumann
(3)
,
Frédérique Claudot
(4)
,
Paul-Michel Mertes
(2, 5)
,
Louis Puybasset
(6)
Caroline Guibet Lafaye
- Fonction : Auteur
- PersonId : 3852
- IdHAL : caroline-guibet-lafaye
- ORCID : 0000-0002-2114-7605
- IdRef : 059399236
Gérard Audibert
- Fonction : Auteur
- PersonId : 761625
- ORCID : 0000-0001-7919-5434
Antoine Baumann
- Fonction : Auteur
- PersonId : 918703
Paul-Michel Mertes
- Fonction : Auteur
- PersonId : 944586
Louis Puybasset
- Fonction : Auteur
- PersonId : 759706
- ORCID : 0000-0002-6849-1825
- IdRef : 086982273
Résumé
The chronic worldwide lack of organs for transplantation and the continuing improvement of strategies for _in situ_ organ preservation have led to renewed interest in elective non-therapeutic ventilation of potential organ donors. Two types of situation may be eligible for elective intensive care: patients definitely evolving towards brain death and patients suitable as controlled non-heart beating organ donors after life-supporting therapies have been assessed as futile and withdrawn. Assessment of the ethical acceptability and the risks of these strategies is essential. We here offer such an ethical assessment using the four principles of medical ethics of Beauchamp and Childress applying them in their broadest sense so as to include patients and their families, their caregivers, other potential recipients of intensive care, and indeed society as a whole. The main ethical problems emerging are the definition of beneficence for the potential organ donor, the dilemma between the duty to respect a dying patient's autonomy and the duty not to harm him/her, and the possible psychological and social harm for families, caregivers other potential recipients of therapeutic intensive care, and society more generally. Caution is expressed about the ethical acceptability of elective non-therapeutic ventilation, along with some proposals for precautionary measures to be taken if it is to be implemented. ER - End of Reference
Domaines
SociologieFormat du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Elective non-therapeutic intensive care and the four principles of medical ethics
|
Résumé |
en
The chronic worldwide lack of organs for transplantation and the continuing improvement of strategies for _in situ_ organ preservation have led to renewed interest in elective non-therapeutic ventilation of potential organ donors. Two types of situation may be eligible for elective intensive care: patients definitely evolving towards brain death and patients suitable as controlled non-heart beating organ donors after life-supporting therapies have been assessed as futile and withdrawn. Assessment of the ethical acceptability and the risks of these strategies is essential. We here offer such an ethical assessment using the four principles of medical ethics of Beauchamp and Childress applying them in their broadest sense so as to include patients and their families, their caregivers, other potential recipients of intensive care, and indeed society as a whole. The main ethical problems emerging are the definition of beneficence for the potential organ donor, the dilemma between the duty to respect a dying patient's autonomy and the duty not to harm him/her, and the possible psychological and social harm for families, caregivers other potential recipients of therapeutic intensive care, and society more generally. Caution is expressed about the ethical acceptability of elective non-therapeutic ventilation, along with some proposals for precautionary measures to be taken if it is to be implemented. ER - End of Reference
|
Auteur(s) |
Caroline Guibet Lafaye
1
, Gérard Audibert
2
, Antoine Baumann
3
, Frédérique Claudot
4
, Paul-Michel Mertes
2, 5
, Louis Puybasset
6
1
CMH -
Centre Maurice Halbwachs
( 20824 )
- 48 Boulevard Jourdan
75014 Paris
- France
2
RCV -
Risque cardiovasculaire, rigidité-fibrose et hypercoagulabilité
( 81519 )
- Université Henri Poincaré, Faculté de Médecine, 9 avenue de la Forêt de Haye, 54500 Vandoeuvre-les-Nancy
- France
3
Service d'Anesthésie et Réanimation [CHRU Nancy]
( 180920 )
- 29 avenue du Maréchal de Lattre de Tassigny, C.O. n°34, 54035 Nancy Cedex
- France
4
Service de Médecine légale et de Droit de la Santé
( 180921 )
- 9 avenue de la Forêt de Haye, 54505 Vandoeuvre-les-Nancy Cedex
- France
5
Service de Réanimation Médicale [CHRU Nancy]
( 479108 )
- Pole Cardiovasculaire et Réanimation Médicale - 54511 Vandoeuvre les Nancy
- France
6
CHU Pitié-Salpêtrière [AP-HP]
( 353778 )
- 47-83 Boulevard de l'Hôpital, 75013 Paris
- France
|
Langue du document |
Anglais
|
Nom de la revue |
|
Volume |
39
|
Numéro |
3
|
Page/Identifiant |
139--142
|
Date de publication |
2013
|
Audience |
Internationale
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Domaine(s) |
|
Voir aussi |
|
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