Gorordo DLA, Weingerz MS

Language: Spanish
References: 17
Page: 179-182
PDF size: 133.06 Kb.

ABSTRACT

The life support and the cardio-cerebral-pulmonary resuscitation are daily measures in the medical practice, in particular in those critical ill patients, and always that the medical staff need to take a decision about which interventions will be apply to each patient, taking for that decision the diagnosis, severity scores and the patient´s will (or in some cases the family). Each decision in these cases represents an ethical problem, in some countries there are guidelines and legislations that helps, that´s not teh case in Mexico where only exists the anticipate will document. Until now, there was any classification that guide the life support and cardio-cerebral-pulmonary resuscitation measures that will be apply to those patients; the Mexico´s Classification that is proposel in these article catalogs in five groups: reanimation, vital support, withhold, withdraw and organ donor. Hospital guidelines shall be established and frequent consultation to the Bioethics Committees for making determinations about the level of life support and resuscitation in each case.

REFERENCES

1. Authority CR. Resuscitation of residents & patients in continuing care centers. Calgary: CRHA; 2001.

2. Bouza-Alvarez C. Medidas de soporte vital en un paciente en estado vegetativo persistente. Medicina Intensiva. 2004;28(3):156-161.

3. British Medical Association RC. Decisions relating to cardiopulmonary resuscitation. Joint Statement, British Medical Association, Resuscitation Council, Royal College of Nursing, Joint Statement, London. 2007.

4. Castillo VA. Declaración de Ética de la Federación Panamericana e Ibérica de Medicina Crítica y Terapia Intensiva. Madrid: FPIMCTI. 1993;1-4.

5. Castillo VA. Limitación de medidas de soporte vital en pacientes en estado terminal. FEPIMCTI, Comité de Bioética. Madrid: FEPIMCTI. 1993.

6. Cirujanos CA. Advance trauma life support. Eighth edition, Vol. 1. Chicago, Illinois, United States of America: ACS, Comité de Trauma; 2010.

7. Congreso del Estado Independiente L. y (18 de Julio de 2008). Ley Protectora de la Dignidad del Enfermo Terminal, para el estado de Coahuila. Periódico Oficial del Estado de Coahuila, pp. 551-560.

8. DePalo VA, Iacobucci R, Crausman RS. Do-not-resuscitate and stratificacion of care forms in Rhode Island. Am J Crit Care. 2003;12(3):239-241.

9. Ehlenbach WJ, Barnato AE, et al. Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly. N Engl J Med. 2009;361(1):22-31.

10. Eisenberg MS, Mengert TJ. Primary care: cardiac resuscitation. N Engl J Med. 2011;344(17):1304-1313.

11. Ewy GA. Cardiac resuscitation: when is enough enough? N Engl J Med. 2006;355(5):510-512.

12. Federal AL (07 de Enero de 2008). Ley de Voluntad Anticipada para el Distrito Federal. Gaceta Oficial del Distrito Federal. pp. 1-7.

13. Graham CA. When should we stop resuscitation efforts after blunt traumatic arrest? (I. J. Injured, Ed.). Injury. 2008;I(39):967-969.

14. Morrison LJ. Part 3: Ethics 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;X(122):665-675.

15. Nannini D. Ética de la resucitación cardiopulmonar. Federación Argentina de Cardiología, Argentina: Lab Gador; 2001.

16. Ochoa F, Ramalle E, JL, M, et al. Opiniones de enfermería sobre aspectos éticos de la reanimación cardiopulmonar. Emergencias. 1998;10(6):369-375.

17. Riganello F, Sannita WG. Residual brain processing in the vegetative state. Journal of Psychophysiology. 2009;23(1):18-26.