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2015, Number 5

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Gac Med Mex 2015; 151 (5)

The process of death in the intensive care unit (ICU). From a medical, thanatological and legislative point of view

Takao Kaneko-Wada FJ, Domínguez-Cherit G, Colmenares-Vásquez AM, Santana-Martínez P, Gutiérrez-Mejía J, Arroliga AC

Language: Spanish
References: 27
Page: 628-634
PDF size: 76.27 Kb.


ABSTRACT

Traditional goals in the intensive care unit are to reduce morbidity and mortality. Despite medical and technological advances, death in the intensive care unit remains commonplace and the modern critical care team should be familiar with palliative care and legislation in Mexico. Preserving the dignity of patients, avoiding harm, and maintaining communication with the relatives is fundamental. There is no unique, universally accepted technical approach in the management of the terminal critical care patient, so it is important to individualize each case and define objectives together under the legal framework in Mexico.


REFERENCES

  1. Raffin TA. Ethical concerns in managing critically ill patients. En: Parrillo JE, Dellinger RP, editors. Critical Care Medicine: Principles of Diagnosis and Management in the Adult. 1a. ed. St. Louis, EUA: Mosby; 2002. pp. 1447-64.

  2. Cook D, Rocker G. Dying with Dignity in the Intensive Care Unit. N Engl J Med. 2014;370:2506-14.

  3. Angus DC, Barnato AE, Linde-Zwirble WT, et al. On behalf of the Robert Wood Johnson Foundation ICU End-of-Life Peer Group. Use of intensive care at the end of life in the United States: An epidemiologic study. Crit Care Med. 2004;32(3):638-43.

  4. Ponce de León-Rosales SP, Molinar-Ramos F, Domínguez-Cherit G, et al. Prevalence of infections in intensive care units in Mexico: a multicenter study. Crit Care Med. 2000;28:1316-21.

  5. American College of Critical Care Medicine of the Society of Critical Care Medicine. Guidelines for intensive care unit admission, discharge, and triage. Task Force of the American College of Critical Care Medicine. Crit Care Med. 1999;27(3):633-8.

  6. Congreso de los Estados Unidos Mexicanos. Artículo 345 Donación, transplantes y pérdida de la vida. En: Ley General de Salud. 16 ed. México, D.F.: Ediciones Fiscales ISEF; 2013. p. 101.

  7. Society of Critical Care Medicine, Patient and Family Support Committee Support Choices. 2012. Life support choices, understanding life support measures. [consultado 1 junio 2013]. Disponible en: http://www.myicucare. org/Adult-Support/Pages/Life-Support-Choices.aspx.

  8. Angus DC, Linde-Zwirble WT, Lidicker J, et al. Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Crit Care Med. 2001;29:1303-10.

  9. Nguyen YL, Angus DC, BoumendiL A, et al. The challenge of admitting the very elderly to intensive care. Ann Intensive Care. 2011;1:29.

  10. Lamb JI, Ayres SM. Organización y Manejo de la Terapia Intensiva. Prevención de complicaciones en la unidad de terapia intensiva. En: Shoemaker WC, Ayres SM, Grenvik A, et al., editores. Tratado de Medicina Crítica y Terapia Intensiva. 4a. ed. en español. Madrid, España: Panamericana. pp. 2004-11.

  11. Instituto Mexicano de Tanatología. ¿Cómo enfrentar la muerte? Tanatología. 1a ed. en español. México: Trillas; 2006.

  12. Congreso de los Estados Unidos Mexicanos. Título Octavo Bis. De los cuidados paliativos a los enfermos en situación terminal. En: Ley General de Salud. 16 ed. México, D.F.: Ediciones Fiscales ISEF; 2013. pp. 48-52.

  13. American Psychiatric Association 2013. Diagnostic and statistical manual of mental disorders.5a ed. en español. Arlington, VA, E.U.A. [consultado 1 junio 2014]. Disponible en: http://www.dsm.psychiatryonline. org.

  14. Rebolledo-Mota F. El médico y el dolor, el dolor del médico. Síndrome de aniquilamiento. 1ª ed. México: Edición particular; 2003.

  15. Karnes B. The Final Act of Living - Reflections of a Long Time Hospice. 1a ed. Vancouver, WA , USA: Ed. Nurse Barbara Karnes Books, Inc.; 2003.

  16. Bone RC, Grodzin CJ, Balk RA. Sepsis: a new hypothesis for pathogenesis of the disease process. Chest. 1997;112(1):235-43.

  17. Bone RC. A personal experience with SIRS and MODS. Crit Care Med. 1996;24(8):1417-8.

  18. Gutierrez-Samperio C. La bioética ante la muerte. Gac Med Mex. 2001; 137(3):269-76.

  19. Kübler Ross E. Sobre la muerte y los moribundos. Barcelona: Ed. Grijalbo; 1993.

  20. Meisel A, Snyder L, Quill T; American College of Physicians--American Society of Internal Medicine End-of-Life Care Consensus Panel. Seven legal barriers to end-of-life care: myths, realities, and grains of truth. JAMA. 2000;284(19):2495-501.

  21. Ortiz, J. Historia de la Medicina Paliativa. Med Pal. 1999;6(2):82-8.

  22. Wood KA, Marik PE. ICU Care at the End of Life. Chest. 2004;125(5): 1403-6.

  23. Truog RD, Cist AF, Brackett SE, et al. Recommendations for end-of-life care in the intensive care unit: The Ethics Committee of the Society of Critical Care Medicine. Crit Care Med. 2001;29:2332-48.

  24. Diem SJ, Lantos JD, Tulsky JA. Cardiopulmonary resuscitation on television- miracles and misinformation. N Engl J Med. 1996;334:1578-82.

  25. Chochinov HM. Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care. BMJ. 2007;335:184-7.

  26. Órgano del Gobierno del Distrito Federal 2008. Gaceta Oficial del Distrito Federal. Decreto por el que se expide Ley de voluntad anticipada para el Distrito Federal. [consultado 1 agosto 2008]. Disponible en: http://www.consejeria.df.gob.mx/portal_old/uploads/gacetas/ Abril08_4_307.pdf.

  27. Ariza-Andraca R, Garza-Ochoa M, Guzman-Delgado CC, et al. La voluntad anticipada, un dilema ético sustentado en una ley vigente. Med Int Mex. 2008;24:353-6.




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