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MINERVA ANESTESIOLOGICA

Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Anestesiologica 2017 Jul 12

DOI: 10.23736/S0375-9393.17.12055-9

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Clinical ethics: what the anaesthesiologist and the intensivist need to know

Marco VERGANO 1 , Emma MAGAVERN 2, Nereo ZAMPERETTI 3

1 SC Anestesia e Rianimazione 2, Ospedale Torino Nord Emergenza S. Giovanni Bosco, Torino, Italy; 2 Imperial College NHS Trust, St. Mary’s Hospital, London, UK; 3 Servizio Qualità e Accreditamento, ULSS 8 Berica, Vicenza, Italy


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Clinical ethics if often perceived as an intuitive understanding of what is right versus wrong. This is insufficient for healthcare workers in general, but particularly for anesthesiologists and intensivists, who often must weigh up complex and emergent life or death decisions and subsequently justify these decisions to their team and patients, as well as patient’s families. Articulating the rationale for such decisions is an arduous task. Thus, a brief introduction to the basic conceptual framework and vocabulary of clinical ethics may be useful to this population of physicians. The most important concept is that interventions offered should be both clinically appropriate and ethically proportionate, desirable by both the patient and the medical team, and offering a meaningful benefit to the patient within the context of his or her own life narrative. This puts an emphasis on understanding, from the patient or his/her proxies, not just who the patient is biologically but also biographically: that is what gives meaning to his/her life subjectively, and what quality of life would be compatible with this level of functioning, as well as when he/she would wish life sustaining therapy to be withheld or withdrawn.


KEY WORDS: Bioethics - Clinical ethics - Clinical decision-making - Critical care - Palliative care

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Publication History

Article first published online: July 12, 2017
Manuscript accepted: July 5, 2017
Manuscript revised: June 7, 2017
Manuscript received: March 9, 2017

Per citare questo articolo

Vergano M, Magavern E, Zamperetti N. Clinical ethics: what the anaesthesiologist and the intensivist need to know. Minerva Anestesiol 2017 Jul 12. DOI: 10.23736/S0375-9393.17.12055-9

Corresponding author e-mail

m.vergano@gmail.com