Ethical aspects of the COVID-19 crisis: How to deal with an overwhelming shortage of acute beds.


Journal

European heart journal. Acute cardiovascular care
ISSN: 2048-8734
Titre abrégé: Eur Heart J Acute Cardiovasc Care
Pays: England
ID NLM: 101591369

Informations de publication

Date de publication:
Apr 2020
Historique:
pubmed: 30 4 2020
medline: 17 6 2020
entrez: 30 4 2020
Statut: ppublish

Résumé

The current outbreak of SARS-CoV-2 has and continues to put huge pressure on intensive care units (ICUs) worldwide. Many patients with COVID-19 require some form of respiratory support and often have prolonged ICU stays, which results in a critical shortage of ICU beds. It is therefore not always physically possible to treat all the patients who require intensive care, raising major ethical dilemmas related to which patients should benefit from the limited resources and which should not. Here we consider some of the approaches to the acute shortages seen during this and other epidemics, including some guidelines for triaging ICU admissions and treatments.

Identifiants

pubmed: 32347745
doi: 10.1177/2048872620922788
pmc: PMC7196891
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

248-252

Références

CMAJ. 2006 Nov 21;175(11):1377-81
pubmed: 17116904
CMAJ. 2005 Aug 30;173(5):489-95
pubmed: 16129869
N Engl J Med. 2020 May 21;382(21):1973-1975
pubmed: 32202721
Crit Care. 2005 Jun;9(3):226-9
pubmed: 15987405
Chest. 2014 Oct;146(4 Suppl):e145S-55S
pubmed: 25144262
Chest. 2019 Apr;155(4):848-854
pubmed: 30316913

Auteurs

Jean-Louis Vincent (JL)

Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Belgium.

Jacques Creteur (J)

Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Belgium.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH