ventilação mecânica e obstinação terapêutica ou distanásia, a dialéctica da alta tecnologia em medicina intensiva

Clicks: 128
ID: 131291
2006
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Abstract
Resumo: Distanásia ou qualquer um dos seus sinónimos é uma consequência do excesso terapêutico em relação ao prognóstico esperado. A obstinação terapêutica é um dos dilemas éticos mais angustiantes no quotidiano de medicina intensiva, apesar de a sua apreciação encontrar um suporte normativo em várias instituições e organizações. A manutenção ou não suspensão da ventilação mecânica numa determinada circunstância de fim de vida pode ser considerado como um exemplo paradigmático de obstinação terapêutica.A compreensão desta postura passa pela análise e reflexão do acto médico à luz de alguns conceitos ético-filosóficos.Rev Port Pneumol 2006; XII (3): 281-291 Abstract: Dysthanasia or any of its synonyms is a consequence of excessive technical science, without any reasonable chance of achieving a therapeutic benefit for the patient.Medical futility is a distressing ethical dilemma of intensive care medicine. Its recognition has led to a precept support in various institutions and organizations.Not withdrawing or withholding mechanical ventilation in certain circumstances can be considered as a paradigmatic model of medical futility.The understanding of this posture implies a philo sophical approach and reflexion of medical practice.Rev Port Pneumol 2006; XII (3): 281-291 Palavras-chave: Ética, obstinação terapêutica, distanásia, medicina intensiva, Key-words: Ethics, medical futility, dysthanasia, intensive medicine
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Authors ;Filipe Monteiro
Journal the journal of applied psychology
Year 2006
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