Pediatric ventilation in a disaster: clinical and ethical decision making.
Identifieur interne : 000232 ( 2020/Analysis ); précédent : 000231; suivant : 000233Pediatric ventilation in a disaster: clinical and ethical decision making.
Auteurs : Amir Ytzhak [Israël] ; Ram Sagi ; Tarif Bader ; Amit Assa ; Alon Farfel ; Ofer Merin ; Yitshak KreissSource :
- Critical care medicine [ 1530-0293 ] ; 2012.
Descripteurs français
- KwdFr :
- Abdomen aigu, Asphyxie néonatale (), Asphyxie néonatale (diagnostic), Enfant, Enfant d'âge préscolaire, Femelle, Haïti, Humains, Israël, Maladie grave (), Maladie grave (mortalité), Myocardite (), Myocardite (diagnostic), Mâle, Nourrisson, Nouveau-né, Pneumopathie infectieuse (), Pneumopathie infectieuse (diagnostic), Prise de décision (éthique), Pronostic, Prématuré, Soins centrés sur le patient, Syndrome de détresse respiratoire du nouveau-né (), Syndrome de détresse respiratoire du nouveau-né (diagnostic), Tremblements de terre, Triage (), Triage (éthique), Urgences, Ventilation artificielle (), Ventilation artificielle (éthique), Équipement hospitalier préconditionné, Études par échantillonnage, Études rétrospectives, Évaluation des risques, Événements avec afflux massif de victimes.
- MESH :
- diagnostic : Asphyxie néonatale, Myocardite, Pneumopathie infectieuse, Syndrome de détresse respiratoire du nouveau-né.
- mortalité : Maladie grave.
- éthique : Prise de décision, Triage, Ventilation artificielle.
- Abdomen aigu, Asphyxie néonatale, Enfant, Enfant d'âge préscolaire, Femelle, Haïti, Humains, Israël, Maladie grave, Myocardite, Mâle, Nourrisson, Nouveau-né, Pneumopathie infectieuse, Pronostic, Prématuré, Soins centrés sur le patient, Syndrome de détresse respiratoire du nouveau-né, Tremblements de terre, Triage, Urgences, Ventilation artificielle, Équipement hospitalier préconditionné, Études par échantillonnage, Études rétrospectives, Évaluation des risques, Événements avec afflux massif de victimes.
- Wicri :
English descriptors
- KwdEn :
- Abdomen, Acute, Asphyxia Neonatorum (diagnosis), Asphyxia Neonatorum (therapy), Child, Child, Preschool, Critical Illness (mortality), Critical Illness (therapy), Decision Making (ethics), Earthquakes, Emergencies, Female, Haiti, Hospitals, Packaged, Humans, Infant, Infant, Newborn, Infant, Premature, Israel, Male, Mass Casualty Incidents, Myocarditis (diagnosis), Myocarditis (therapy), Patient-Centered Care, Pneumonia (diagnosis), Pneumonia (therapy), Prognosis, Respiration, Artificial (ethics), Respiration, Artificial (methods), Respiratory Distress Syndrome, Newborn (diagnosis), Respiratory Distress Syndrome, Newborn (therapy), Retrospective Studies, Risk Assessment, Sampling Studies, Triage (ethics), Triage (methods).
- MESH :
- geographic : Haiti, Israel.
- diagnosis : Asphyxia Neonatorum, Myocarditis, Pneumonia, Respiratory Distress Syndrome, Newborn.
- ethics : Decision Making, Respiration, Artificial, Triage.
- methods : Respiration, Artificial, Triage.
- mortality : Critical Illness.
- therapy : Asphyxia Neonatorum, Critical Illness, Myocarditis, Pneumonia, Respiratory Distress Syndrome, Newborn.
- Abdomen, Acute, Child, Child, Preschool, Earthquakes, Emergencies, Female, Hospitals, Packaged, Humans, Infant, Infant, Newborn, Infant, Premature, Male, Mass Casualty Incidents, Patient-Centered Care, Prognosis, Retrospective Studies, Risk Assessment, Sampling Studies.
Abstract
Medical resources may be overwhelmed in a mass disaster situation. Intensive care resources may be limited even further. When the demand for a certain resource, like ventilators, exceeds its availability, caregivers are faced with the task of deciding how to distribute this resource.Ethical dilemmas arise when a practical decision necessitates ranking the importance of several ethical principles. In a disaster area, the greatest good for the greatest number principle and the goal of equal distribution of resources may take priority over the needs of the individual. Nonetheless, regardless of the interventions available, it is a prime goal to keep the patients' comfort and dignity as much as possible.
DOI: 10.1097/CCM.0b013e318232e222
PubMed: 22020234
Affiliations:
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pubmed:22020234Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdomen, Acute</term>
<term>Asphyxia Neonatorum (diagnosis)</term>
<term>Asphyxia Neonatorum (therapy)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Critical Illness (mortality)</term>
<term>Critical Illness (therapy)</term>
<term>Decision Making (ethics)</term>
<term>Earthquakes</term>
<term>Emergencies</term>
<term>Female</term>
<term>Haiti</term>
<term>Hospitals, Packaged</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Infant, Premature</term>
<term>Israel</term>
<term>Male</term>
<term>Mass Casualty Incidents</term>
<term>Myocarditis (diagnosis)</term>
<term>Myocarditis (therapy)</term>
<term>Patient-Centered Care</term>
<term>Pneumonia (diagnosis)</term>
<term>Pneumonia (therapy)</term>
<term>Prognosis</term>
<term>Respiration, Artificial (ethics)</term>
<term>Respiration, Artificial (methods)</term>
<term>Respiratory Distress Syndrome, Newborn (diagnosis)</term>
<term>Respiratory Distress Syndrome, Newborn (therapy)</term>
<term>Retrospective Studies</term>
<term>Risk Assessment</term>
<term>Sampling Studies</term>
<term>Triage (ethics)</term>
<term>Triage (methods)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Abdomen aigu</term>
<term>Asphyxie néonatale ()</term>
<term>Asphyxie néonatale (diagnostic)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Haïti</term>
<term>Humains</term>
<term>Israël</term>
<term>Maladie grave ()</term>
<term>Maladie grave (mortalité)</term>
<term>Myocardite ()</term>
<term>Myocardite (diagnostic)</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Pneumopathie infectieuse ()</term>
<term>Pneumopathie infectieuse (diagnostic)</term>
<term>Prise de décision (éthique)</term>
<term>Pronostic</term>
<term>Prématuré</term>
<term>Soins centrés sur le patient</term>
<term>Syndrome de détresse respiratoire du nouveau-né ()</term>
<term>Syndrome de détresse respiratoire du nouveau-né (diagnostic)</term>
<term>Tremblements de terre</term>
<term>Triage ()</term>
<term>Triage (éthique)</term>
<term>Urgences</term>
<term>Ventilation artificielle ()</term>
<term>Ventilation artificielle (éthique)</term>
<term>Équipement hospitalier préconditionné</term>
<term>Études par échantillonnage</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques</term>
<term>Événements avec afflux massif de victimes</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Haiti</term>
<term>Israel</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Asphyxia Neonatorum</term>
<term>Myocarditis</term>
<term>Pneumonia</term>
<term>Respiratory Distress Syndrome, Newborn</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Asphyxie néonatale</term>
<term>Myocardite</term>
<term>Pneumopathie infectieuse</term>
<term>Syndrome de détresse respiratoire du nouveau-né</term>
</keywords>
<keywords scheme="MESH" qualifier="ethics" xml:lang="en"><term>Decision Making</term>
<term>Respiration, Artificial</term>
<term>Triage</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Respiration, Artificial</term>
<term>Triage</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Critical Illness</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Maladie grave</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Asphyxia Neonatorum</term>
<term>Critical Illness</term>
<term>Myocarditis</term>
<term>Pneumonia</term>
<term>Respiratory Distress Syndrome, Newborn</term>
</keywords>
<keywords scheme="MESH" qualifier="éthique" xml:lang="fr"><term>Prise de décision</term>
<term>Triage</term>
<term>Ventilation artificielle</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Abdomen, Acute</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Earthquakes</term>
<term>Emergencies</term>
<term>Female</term>
<term>Hospitals, Packaged</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Infant, Premature</term>
<term>Male</term>
<term>Mass Casualty Incidents</term>
<term>Patient-Centered Care</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Risk Assessment</term>
<term>Sampling Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Abdomen aigu</term>
<term>Asphyxie néonatale</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Haïti</term>
<term>Humains</term>
<term>Israël</term>
<term>Maladie grave</term>
<term>Myocardite</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Pneumopathie infectieuse</term>
<term>Pronostic</term>
<term>Prématuré</term>
<term>Soins centrés sur le patient</term>
<term>Syndrome de détresse respiratoire du nouveau-né</term>
<term>Tremblements de terre</term>
<term>Triage</term>
<term>Urgences</term>
<term>Ventilation artificielle</term>
<term>Équipement hospitalier préconditionné</term>
<term>Études par échantillonnage</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques</term>
<term>Événements avec afflux massif de victimes</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Haïti</term>
<term>Israël</term>
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<front><div type="abstract" xml:lang="en">Medical resources may be overwhelmed in a mass disaster situation. Intensive care resources may be limited even further. When the demand for a certain resource, like ventilators, exceeds its availability, caregivers are faced with the task of deciding how to distribute this resource.Ethical dilemmas arise when a practical decision necessitates ranking the importance of several ethical principles. In a disaster area, the greatest good for the greatest number principle and the goal of equal distribution of resources may take priority over the needs of the individual. Nonetheless, regardless of the interventions available, it is a prime goal to keep the patients' comfort and dignity as much as possible.</div>
</front>
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<affiliations><list><country><li>Israël</li>
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<tree><noCountry><name sortKey="Assa, Amit" sort="Assa, Amit" uniqKey="Assa A" first="Amit" last="Assa">Amit Assa</name>
<name sortKey="Bader, Tarif" sort="Bader, Tarif" uniqKey="Bader T" first="Tarif" last="Bader">Tarif Bader</name>
<name sortKey="Farfel, Alon" sort="Farfel, Alon" uniqKey="Farfel A" first="Alon" last="Farfel">Alon Farfel</name>
<name sortKey="Kreiss, Yitshak" sort="Kreiss, Yitshak" uniqKey="Kreiss Y" first="Yitshak" last="Kreiss">Yitshak Kreiss</name>
<name sortKey="Merin, Ofer" sort="Merin, Ofer" uniqKey="Merin O" first="Ofer" last="Merin">Ofer Merin</name>
<name sortKey="Sagi, Ram" sort="Sagi, Ram" uniqKey="Sagi R" first="Ram" last="Sagi">Ram Sagi</name>
</noCountry>
<country name="Israël"><noRegion><name sortKey="Ytzhak, Amir" sort="Ytzhak, Amir" uniqKey="Ytzhak A" first="Amir" last="Ytzhak">Amir Ytzhak</name>
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