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Priorisierung intensivmedizinischer Behandlungsplätze – Konzeptvorschlag

In the situation of a shortage of ventilation beds, ethically justifiable, transparent and comprehensible decisions must be made. This concept proposes that all patients are first intubated depending on necessity and then assessed by a triage team afterwards. In this situation newly admitted COVID p...

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Detalles Bibliográficos
Autores principales: Deppe, A. C., Kolibay, F., Burst, V., Simon, S., Rothschild, M., Kochanek, M., Annecke, T., Adler, C., Dusse, F., Hof, M., Langebartels, G., Reimers, S., Muckel, S., Roth, B., Wolff, J., Onur, O. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786159/
https://www.ncbi.nlm.nih.gov/pubmed/33404665
http://dx.doi.org/10.1007/s00104-020-01334-0
Descripción
Sumario:In the situation of a shortage of ventilation beds, ethically justifiable, transparent and comprehensible decisions must be made. This concept proposes that all patients are first intubated depending on necessity and then assessed by a triage team afterwards. In this situation newly admitted COVID patients compete with newly admitted Non-COVID patients as well as patients already treated in intensive care units for a ventilator. The combination of short-term and long-term prognoses should enable the interprofessional triage team to make comprehensible decisions. The aim of the prioritization concept is to save as many human lives as possible and to relieve the treatment team of the difficult decision on prioritization.