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2020 ; 10
(1
): 84
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Ethical dilemmas due to the Covid-19 pandemic
#MMPMID32556826
Robert R
; Kentish-Barnes N
; Boyer A
; Laurent A
; Azoulay E
; Reignier J
Ann Intensive Care
2020[Jun]; 10
(1
): 84
PMID32556826
show ga
The devastating pandemic that has stricken the worldwide population induced an
unprecedented influx of patients in ICUs, raising ethical concerns not only
surrounding triage and withdrawal of life support decisions, but also regarding
family visits and quality of end-of-life support. These ingredients are liable to
shake up our ethical principles, sharpen our ethical dilemmas, and lead to
situations of major caregiver sufferings. Proposals have been made to rationalize
triage policies in conjunction with ethical justifications. However, whatever the
angle of approach, imbalance between utilitarian and individual ethics leads to
unsolvable discomforts that caregivers will need to overcome. With this in mind,
we aimed to point out some critical ethical choices with which ICU caregivers
have been confronted during the Covid-19 pandemic and to underline their limits.
The formalized strategies integrating the relevant tools of ethical reflection
were disseminated without deviating from usual practices, leaving to intensivists
the ultimate choice of decision.