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Báo cáo y học: "Ethics roundtable debate: Child with severe brain damage and an underlying brain tumour"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Ethics roundtable debate: Child with severe brain damage and an underlying brain tumour. | Available online http ccforum.eom content 8 4 213 Commentary Ethics roundtable debate Child with severe brain damage and an underlying brain tumour Scott Gunn1 Satoru Hashimoto2 Michael Karakozov3 Thomas Marx4 Ian KS Tan5 Dan R Thompson6 and Jean-Louis Vincent7 Assistant Professor of Critical Care Medicine and Emergency Medicine Department of Critical Care Medicine University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA 2Director of Intensive Care Division Associate Professor Department of Anesthesiology and Intensive Care Kyoto Prefectural University of Medicine Kyoto Japan 3Intensivist ICU Republican Hospital of Karelia Petrozavodsk Petrozavodsk Russia 4Private Docent Reader Staff Anaesthesiologist Consultant ICU Department Department of Cardiac Surgery University of Ulm Ulm Germany 5Consultant Intensivist Department of Intensive Care Medicine Singapore General Hospital Singapore 6Associate Professor Department of Surgery and the Center for Medical Ethics Education and Research Albany Medical College Albany New York USA 7Professor Head Department of Intensive Care Erasme Hospital Free University of Brussels Brussels Belgium Correspondence Critical Care Editorial Office editorial@ccforum.com Published online 30 June 2004 This article is online at http ccforum.com content 8 4 213 2004 BioMed Central Ltd Critical Care 2004 8 213-218 DOI 10.1186 cc2909 Abstract A young person presents with a highly malignant brain tumour with hemiparesis and limited prognosis after resection. She then suffers an iatrogenic cardiac and respiratory arrest that results in profound anoxic encephalopathy. A difference in opinion between the treatment team and the parent is based on a question of futile therapy. Opinions from five intensivists from around the world explore the differences in ethical and legal issues. A Physician-ethicist comments on the various approaches. Keywords critical care ethics medical futility negotiating palliative care Introduction Jean-Louis Vincent