2017-03-14 01:37

决定to withdraw和义务不予积极生命支持治疗的情况下,there are of回收黄金仍有希望改善难展望重症护理专家and for Families and the difficulty is not always understood by members outside the Family of the病人或医院的员工。the report by fartoukh等人describes the consequences and Implications of终端从terminally病患者拔管。拔管is the removal of终端永久的生命支持治疗and is a method of withdrawing换气扇的支持。the记录患者谁死在重症监护室after a decision to withdraw生命支持by Stopping人工通风是分析了。were subjected不可逆转的神经损害患者拔管或to removal of人工支持系统的目的是做这换气扇只有集体决策过程和标准化后的共识was reached to End支持和收款处理。后拔管和治疗戒断,所有患者死在3天。the authors reiterate that the Transparency of拔管强化关于终端结束生命的决定在重症监护室和highlights the方面积极治疗provided by Critical Care of专家。研究所面临的伦理困境》by护士和医疗工作者,应该a person in长期和不可逆转的呼吸病是医学治疗或人工修订从艾滋病?The Authors and disadvantages几个优势的说法,Mark the practice of although拔管拔管可以合理In case of不可逆转的神经损害。


Fartoukh et al(2005) argue that decisions to withdraw and withhold active life support treatment in situations where there are hopes of recovery or improvement remain a difficult prospect for critical care specialists and for families and the difficulty is not always understood by members outside the family of the patient or hospital staff. The report by Fartoukh et al describes the consequences and implications of terminal extubation from terminally ill patients. Terminal extubation is the permanent removal of life support treatment and is a method of withdrawing ventilator support. The records of patients who died in intensive care units after a decision to withdraw life support by stopping artificial ventilation were analyzed. Patients with irreversible neurological damage were subjected to extubation or removal of artificial ventilator support systems but this was done only after standardized collective decision making process and a consensus was reached to end support and withdraw treatment. Following extubation and treatment withdrawal, all patients died within 3 days. The authors reiterate that terminal extubation reinforces the transparency of end-of life decision in intensive care units and highlights the aspects of aggressive treatment provided by critical care specialists. The study highlights the ethical dilemma faced by nurses and healthcare workers, should a person in prolonged and irreversible respiratory illness be withdrawn from treatment or artificial medical aids? The authors argue that several advantages and disadvantages mark the practice of extubation although extubation may be justified in case of irreversible neurological damage.