Limitación del esfuerzo terapéutico en cuidados intensivos pediátricos: conocimiento y actitudes bioéticas del profesional médico

Simple item page
dc.contributor.authorMorales, Gonzalo
dc.contributor.authorAlvarado, Tatiana
dc.contributor.authorZuleta, Rodrigo
dc.date.accessioned2018-01-02T18:56:59Z
dc.date.available2018-01-02T18:56:59Z
dc.date.issued2016
dc.description.abstractPaediatric intensive care is a relatively new specialty, with significant technological advances that lead to the prolongation of the dying process. One of the most common bioethical problems is limitation of treatment, which is the adequacy and/or proportionality treatment, trying to avoid obstinacy and futility. Objective: To determine the experience of physicians working in Paediatric Intensive Care Units (PICU) when faced with bioethical decisions. Subjects and method: An observational, descriptive and cross-sectional study was conducted using an anonymous questionnaire sent to physicians working in PICU. The data requested was related to potential ethical problems generated in the care of the critical child, and the procedure for their resolution. The study was approved by the Ethics Research Committee of the Faculty of Medicine UDD CAS. Results: A total of 126 completed questionnaires were received from physicians working in 34 PICU in Chile. Almost all (98.41%) of them acknowledged having taken therapeutic limitation decisions (TLD). The most common type of TLD mentioned was the Do Not Resuscitate order (n = 119), followed by the establishment of no medications (n = 113), limited admission to PICU (n = 81), with the withdrawal of treatment being the least mentioned (n = 81). Around one-third (34.13%) felt that there were no ethical difference between introducing or removing certain treatments. Conclusions: Bioethical dilemmas are common in the PICU, with therapeutic limitation decisions being frequent. Many recognise not having expertise in clinical ethics, and they need continuing education in bioethics.
dc.format.extent5
dc.identifier.citationMorales Valdés G, Alvarado Romero T, Zuleta Castro R. Limitación del esfuerzo terapéutico en cuidados intensivos pediátricos: conocimiento y actitudes bioéticas del profesional médico [Limitation of therapeutic effort in Paediatric Intensive Care Units: Bioethical knowledge and attitudes of the medical profession]. Rev Chil Pediatr. 2016 Mar-Apr;87(2):116-20.
dc.identifier.urihttp://hdl.handle.net/11447/1845
dc.identifier.urihttp://doi.org/10.1016/j.rchipe.2015.10.002
dc.language.isospa
dc.subjectBioethics
dc.subjectWithholding
dc.subjectWithdrawal of life-sustaining treatment
dc.subjectPaediatrics
dc.subjectIntensive care
dc.titleLimitación del esfuerzo terapéutico en cuidados intensivos pediátricos: conocimiento y actitudes bioéticas del profesional médico
dc.title.alternativeLimitation of therapeutic effort in Paediatric Intensive Care Units: Bioethical knowledge and attitudes of the medical profession
dc.typeArtículo

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Limitación del esfuerzo terapéutico en cuidados intensivos pediátricos.pdf
Size:
566.21 KB
Format:
Adobe Portable Document Format
Description:
Texto completo
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services