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Chapter 28. Ethical Issues in Intensive Care Medicine

Douglas B White, MD, MAS
DOI: 10.1378/critcare.21.28
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Sections

Objectives 
  • Describe the standards of surrogate decision making.

  • Review the concept of shared decision making.

  • Discuss whether there is an ethical distinction between withholding and withdrawing life support.

  • Highlight the important of the principle of double effect to end-of-life care.

  • Define futile and potentially inappropriate treatment and present a strategy for managing intractable clinician-family conflicts.

Synopsis 

This chapter is organized around the incremental presentation of a clinical case. The goal is to use the case to summarize key concepts related to ethical issues in ICUs. In the first section, the case is introduced, and each subsequent section provides additional case information that informs the discussion of the next topic.

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

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