Admission criteria and management of critical care patients in a pandemic context: position of the Ethics Commission of the French Intensive Care Society, update of April 2021.
Olivier LesieurJean Pierre QuenotZoé Cohen-SolalRaphaëlle DavidLaure De Saint BlanquatMaxime ElbazBénédicte Gaillard Le RouxCyril GoulenokSylvain LavouéVirginie LemialeEmmanuelle MercierChaouki MezherBenoît MissetGwendolyn PenvenAnne Laure PoujolBertrand QuentinRégis QuéréThierry Van Der LindenJean Philippe RigaudPublished in: Annals of intensive care (2021)
Intensive care unit professionals have experience in critical care and its proportionality, collegial decision-making, withholding or withdrawal of treatment deemed futile, and communication with patients' relatives. These elements rely on ethical values from which we must not deviate in a pandemic situation. The recommendations made by the Ethics Commission of the French Intensive Care Society reflect an approach of responsibility and solidarity towards our citizens regarding the potential impact of a pandemic on critical care resources in France, with the fundamental requirement of respect for human dignity and equal access to health care for all.
Keyphrases
- end stage renal disease
- intensive care unit
- sars cov
- coronavirus disease
- healthcare
- newly diagnosed
- chronic kidney disease
- ejection fraction
- decision making
- public health
- emergency department
- endothelial cells
- prognostic factors
- patient reported outcomes
- climate change
- big data
- risk assessment
- deep learning
- artificial intelligence