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17 juin 2020
- ISIDORE Id: 10670/1.f99661...
- hal: hal-03545686
- doi: 10.1186/s13613-020-00702-7
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info:eu-repo/semantics/altIdentifier/doi/10.1186/s13613-020-00702-7
info:eu-repo/semantics/OpenAccess
Mots-clés
Covid-19 Pandemic ICU Ethics Triage Withdrawal of life support End-of-life Family-centered care BurnoutSujets proches
Family caregivers Informal caregivers Care givers Carers Home health caregivers Life--Philosophy Moral philosophy Science, Moral Morals Ethics, Primitive Philosophy, Moral Morality Deontology Ethology Ethical dilemmas Problems, Ethical Dilemmas, Ethical Dilemmas, Moral Moral dilemmas Moral ideas Religion and ethics Biography--Character Knowledge--Ethics moraleCiter ce document
René Robert et al., « Ethical dilemmas due to the Covid-19 pandemic », HAL SHS (Sciences de l’Homme et de la Société), ID : 10.1186/s13613-020-00702-7
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The devastating pandemic that has stricken the worldwide population induced an unprecedented influx of patients in ICUs, raising ethical concerns not only surrounding triage and withdrawal of life support decisions, but also regarding family visits and quality of end-of-life support. These ingredients are liable to shake up our ethical principles, sharpen our ethical dilemmas, and lead to situations of major caregiver sufferings. Proposals have been made to rationalize triage policies in conjunction with ethical justifications. However, whatever the angle of approach, imbalance between utilitarian and individual ethics leads to unsolvable discomforts that caregivers will need to overcome. With this in mind, we aimed to point out some critical ethical choices with which ICU caregivers have been confronted during the Covid-19 pandemic and to underline their limits. The formalized strategies integrating the relevant tools of ethical reflection were disseminated without deviating from usual practices, leaving to intensivists the ultimate choice of decision.
