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

Authors :
Toffart AC
Gonzalez F
Hamidfar-Roy R
Darrason M
Source :
Revue des maladies respiratoires [Rev Mal Respir] 2023 Oct; Vol. 40 (8), pp. 692-699. Date of Electronic Publication: 2023 Aug 31.
Publication Year :
2023

Abstract

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.<br /> (Copyright © 2023 SPLF. Published by Elsevier Masson SAS. All rights reserved.)

Details

Language :
French
ISSN :
1776-2588
Volume :
40
Issue :
8
Database :
MEDLINE
Journal :
Revue des maladies respiratoires
Publication Type :
Academic Journal
Accession number :
37659881
Full Text :
https://doi.org/10.1016/j.rmr.2023.07.003