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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2000 November;66(11):829-39

language: Italian

For a bioethical interpretation of intensive care

Mazzon D., Longato C. *, Barbisan C. **, Orsi L. ***, Rupolo G. P. °, Valmassoi G. °°, Simini G. °°° Commento: Martinelli G.

Ospedale Regionale S. M. dei Battuti - Treviso, 2° Servizio di Anestesia e Rianimazione
*Direzione Medica Ospedale Coordinatore Commissione di Bioetica SIAARTI
**Filosofo bioeticista, Sacerdote della Diocesi di Treviso
***UO Rianimazione Ospedale di Crema, Consulta di Bioetica di Milano Università di Padova
°Istituto di Clinica Psichiatrica
°°Sostituto Procuratore Tribunale di Treviso
°°°Direttore Sanitario ULSS 9 Regione Veneto


The bioethical interpretation concerns both those receiving intensive care (IC) and the nature of the treatment itself. The principle of autonomy expressed in the doctor-patient relationship is achieved through the use of informed consent and may also be used in the unique context of patients in IC. Organ-function replacement treatment raises the ethical question of the definition and management of the limit to treatment. The appropriateness of IC can be defined by clinical and ethical criteria and aims to avoid inappropriately excessive treatment. In order to improve the decision-making process involving bioethical questions, the authors outline a number of working approaches: the use of informed consent even in IC, the possible role of Advanced Directives in IC, epidemiological studies, operator training.

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