Principled decisions and virtuous care: an ethical assessment of the SIAARTI Guidelines for allocating intensive care resources.

Sulmasy, Daniel P

Sulmasy, Daniel P.

Sulmasy DP; Kennedy Institute of Ethics, Georgetown University, Washington, DC, USA - sulmasyd@georgetown.edu.

Minerva Anestesiol ; 86(8): 872-876, 2020 08.

Article in English | MEDLINE | ID: covidwho-401479

ABSTRACT

ABSTRACT

This article sets forth ethical principles for responding to extraordinary circumstances in which the demand for medical care threatens to overwhelm available resources, as in the COVID-19 pandemic. In light of these principles, the author then assesses the ethics of the SIAARTI guidelines for rationing ICU beds and ventilators under such circumstances.

Subject(s)

Betacoronavirus; Coronavirus Infections; Critical Care/ethics; Pandemics; Pneumonia, Viral; Practice Guidelines as Topic; Resource Allocation/ethics; Triage/ethics; Age Factors; Bed Conversion/statistics & numerical data; Bed Occupancy/statistics & numerical data; COVID-19; Coronavirus Infections/epidemiology; Critical Care/standards; Health Care Rationing/ethics; Health Resources/supply & distribution; Health Services Needs and Demand; Humans; Intensive Care Units/statistics & numerical data; Italy/epidemiology; Life Expectancy; Moral Obligations; Palliative Care/ethics; Pneumonia, Viral/epidemiology; Prognosis; SARS-CoV-2; Value of Life; Ventilators, Mechanical/supply & distribution

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Triage / Practice Guidelines as Topic / Coronavirus Infections / Critical Care / Resource Allocation / Pandemics / Betacoronavirus Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Minerva Anestesiol Year: 2020 Document Type: Article

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