[ICU admission for cancer patients with respiratory failure: An ethical dilemma].

Admission aux soins intensifs du patient cancéreux avec une atteinte respiratoire : un dilemme éthique.
Cancer Ethics Intensive care Soins intensifs Éthique

Journal

Revue des maladies respiratoires
ISSN: 1776-2588
Titre abrégé: Rev Mal Respir
Pays: France
ID NLM: 8408032

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 09 03 2023
accepted: 06 07 2023
pubmed: 3 9 2023
medline: 3 9 2023
entrez: 2 9 2023
Statut: ppublish

Résumé

In medicine, each decision is the result of a trade-off between medical scientific data, the rights of individuals (protection of persons, information, consent), individual desires, collective values and norms, and the economic constraints that guide our society. Whether or not to admit a cancer patient to an intensive care unit is very often an ethical dilemma. It is necessary to distinguish patients who would benefit from admission to an intensive care unit (ICU) from those for whom it would be futile. In this review, we will discuss the appropriateness of ICU admission and the concept of unreasonable admission, along with the different levels of intensity of ICU care and the alternatives to intensive care. We will then consider how and when to initiate reflection leading to a reasonable decision for the patient.

Identifiants

pubmed: 37659881
pii: S0761-8425(23)00205-X
doi: 10.1016/j.rmr.2023.07.003
pii:
doi:

Types de publication

English Abstract Journal Article Review

Langues

fre

Sous-ensembles de citation

IM

Pagination

692-699

Informations de copyright

Copyright © 2023 SPLF. Published by Elsevier Masson SAS. All rights reserved.

Auteurs

A-C Toffart (AC)

Service hospitalo-universitaire de pneumologie et physiologie, pôle thorax et vaisseaux, centre hospitalier universitaire Grenoble Alpes, 38043 Grenoble cedex 9, France; Université Grenoble 1 U 823, institut pour l'avancée des biosciences, université Grenoble Alpes, Grenoble, France. Electronic address: atoffart@chu-grenoble.fr.

F Gonzalez (F)

Unité de réanimation, département anesthésie-réanimation, institut Paoli-Calmettes, Marseille, France.

R Hamidfar-Roy (R)

Service hospitalo-universitaire de pneumologie et physiologie, pôle thorax et vaisseaux, centre hospitalier universitaire Grenoble Alpes, 38043 Grenoble cedex 9, France.

M Darrason (M)

Service de pneumologie aiguë spécialisée et cancérologie thoracique, centre hospitalier Lyon Sud, Lyon, France; Institut de recherches philosophiques de Lyon, université Lyon 3, Lyon, France.

Classifications MeSH