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Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts()

In view of the exceptional public health situation caused by the COVID-19 pandemic, a consensus work has been promoted from the ethics group of the Spanish Society of Intensive, Critical Medicine and Coronary Units (SEMICYUC), with the objective of finding some answers from ethics to the crossroads...

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Autores principales: Rubio, O., Estella, A., Cabre, L., Saralegui-Reta, I., Martin, M.C., Zapata, L., Esquerda, M., Ferrer, R., Castellanos, A., Trenado, J., Amblas, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier España, S.L.U. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831673/
http://dx.doi.org/10.1016/j.medine.2020.06.002
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author Rubio, O.
Estella, A.
Cabre, L.
Saralegui-Reta, I.
Martin, M.C.
Zapata, L.
Esquerda, M.
Ferrer, R.
Castellanos, A.
Trenado, J.
Amblas, J.
author_facet Rubio, O.
Estella, A.
Cabre, L.
Saralegui-Reta, I.
Martin, M.C.
Zapata, L.
Esquerda, M.
Ferrer, R.
Castellanos, A.
Trenado, J.
Amblas, J.
author_sort Rubio, O.
collection PubMed
description In view of the exceptional public health situation caused by the COVID-19 pandemic, a consensus work has been promoted from the ethics group of the Spanish Society of Intensive, Critical Medicine and Coronary Units (SEMICYUC), with the objective of finding some answers from ethics to the crossroads between the increase of people with intensive care needs and the effective availability of means. In a very short period, the medical practice framework has been changed to a ‘catastrophe medicine’ scenario, with the consequent change in the decision-making parameters. In this context, the allocation of resources or the prioritization of treatment become crucial elements, and it is important to have an ethical reference framework to be able to make the necessary clinical decisions. For this, a process of narrative review of the evidence has been carried out, followed by unsystematic consensus of experts, which has resulted in both the publication of a position paper and recommendations from SEMICYUC itself, and the consensus between 18 scientific societies and 5 institutes/chairs of bioethics and palliative care of a framework document of reference for general ethical recommendations in this context of crisis.
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spelling pubmed-78316732021-01-26 Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts() Rubio, O. Estella, A. Cabre, L. Saralegui-Reta, I. Martin, M.C. Zapata, L. Esquerda, M. Ferrer, R. Castellanos, A. Trenado, J. Amblas, J. Medicina Intensiva Special Article In view of the exceptional public health situation caused by the COVID-19 pandemic, a consensus work has been promoted from the ethics group of the Spanish Society of Intensive, Critical Medicine and Coronary Units (SEMICYUC), with the objective of finding some answers from ethics to the crossroads between the increase of people with intensive care needs and the effective availability of means. In a very short period, the medical practice framework has been changed to a ‘catastrophe medicine’ scenario, with the consequent change in the decision-making parameters. In this context, the allocation of resources or the prioritization of treatment become crucial elements, and it is important to have an ethical reference framework to be able to make the necessary clinical decisions. For this, a process of narrative review of the evidence has been carried out, followed by unsystematic consensus of experts, which has resulted in both the publication of a position paper and recommendations from SEMICYUC itself, and the consensus between 18 scientific societies and 5 institutes/chairs of bioethics and palliative care of a framework document of reference for general ethical recommendations in this context of crisis. Published by Elsevier España, S.L.U. 2020-10 2020-07-09 /pmc/articles/PMC7831673/ http://dx.doi.org/10.1016/j.medine.2020.06.002 Text en © 2020 Published by Elsevier España, S.L.U. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Special Article
Rubio, O.
Estella, A.
Cabre, L.
Saralegui-Reta, I.
Martin, M.C.
Zapata, L.
Esquerda, M.
Ferrer, R.
Castellanos, A.
Trenado, J.
Amblas, J.
Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts()
title Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts()
title_full Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts()
title_fullStr Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts()
title_full_unstemmed Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts()
title_short Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemic: A rapid review & consensus of experts()
title_sort ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the covid-19 pandemic: a rapid review & consensus of experts()
topic Special Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831673/
http://dx.doi.org/10.1016/j.medine.2020.06.002
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