Ethisch begründet entscheiden in der Intensivmedizin.

IF 0.3 4区医学 Q4 ANESTHESIOLOGY Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI:10.1055/a-2211-9608

Susanne Jöbges, Jochen Dutzmann, Iris Barndt, Hilmar Burchardi, Gunnar Duttge, Steffen Grautoff, Peter Gretenkort, Christiane Hartog, Kathrin Knochel, Friedemann Nauck, Gerald Neitzke, Stefan Meier, Andrej Michalsen, Annette Rogge, Fred Salomon, Anna-Henrikje Seidlein, Ralph Schumacher, Raffael Riegel, Herwig Stopfkuchen, Uwe Janssens

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Abstract

The process recommendations of the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) for ethically based decision-making in intensive care medicine are intended to create the framework for a structured procedure for seriously ill patients in intensive care. The processes require appropriate structures, e.g., for effective communication within the treatment team, with patients and relatives, legal representatives, as well as the availability of palliative medical expertise, ethical advisory committees and integrated psychosocial and spiritual care services. If the necessary competences and structures are not available in a facility, they can be consulted externally or by telemedicine if necessary. The present recommendations are based on an expert consensus and are not the result of a systematic review or a meta-analysis.

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重症监护医学中的伦理决策。

德国重症监护和急诊医学跨学科协会（DIVI）伦理分会就重症监护医学中基于伦理的决策提出了流程建议，旨在为重症监护中的重症患者建立一个结构化的流程框架。这些程序需要适当的结构，例如在治疗团队内部、与患者和亲属、法律代表进行有效沟通，以及提供姑息医学专业知识、伦理咨询委员会和社会心理与精神关怀综合服务。如果某个机构不具备必要的能力和结构，必要时可以从外部或通过远程医疗进行咨询。本建议基于专家共识，并非系统回顾或荟萃分析的结果。

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来源期刊

Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie 医学-麻醉学

CiteScore

0.80

自引率

25.00%

发文量

115

审稿时长

6-12 weeks

期刊介绍： AINS ist die Fachzeitschrift für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie im Georg Thieme Verlag. Sie vermittelt aktuelles Fachwissen und bietet Fortbildung. AINS hat sich das Ziel gesteckt, den Leserinnen und Lesern – Fachärzten und Weiterbildungsassistenten in der Anästhesiologie – immer praxisbezogenen Nutzwert und größtmögliche Unterstützung zu bieten.

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