Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic

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Objetive. Hospital resources are insufficient given the demand for seriously ill patients with COVID-19. Proper resource management is essential to provide the best possible care. Criteria to help make appropriate and timely decisions were reviewed, following ethical principles. The prioritization o...

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Detalles Bibliográficos
Autores: Amado-Tineo, José Percy, Garaycochea, Virginia, Portugal, José, Gonzales, Carolina, Cieza, Liliana
Formato: artículo
Fecha de Publicación:2021
Institución:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositorio:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Lenguaje:español
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/776
Enlace del recurso:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/776
Nivel de acceso:acceso abierto
Materia:Infecciones por Coronavirus
Betacoronavirus
Síndrome respiratorio agudo grave
Ventiladores mecánicos
Enfermedad crítica
Ética clínica
Manejo de Atención al Paciente
Coronavirus Infections
Severe Acute Respiratory Syndrome
Ventilators
Mechanical
Critical Illness
Ethics
Clinical
Patient Care Management
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spelling Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemicToma de decisiones y consideraciones éticas en el soporte ventilatorio en áreas críticas hospitalarias en el contexto de pandemia COVID-19Amado-Tineo, José PercyGaraycochea, VirginiaPortugal, JoséGonzales, CarolinaCieza, LilianaInfecciones por CoronavirusBetacoronavirusSíndrome respiratorio agudo graveVentiladores mecánicosEnfermedad críticaÉtica clínicaManejo de Atención al PacienteCoronavirus InfectionsBetacoronavirusSevere Acute Respiratory SyndromeVentilatorsMechanicalCritical IllnessEthicsClinicalPatient Care ManagementObjetive. Hospital resources are insufficient given the demand for seriously ill patients with COVID-19. Proper resource management is essential to provide the best possible care. Criteria to help make appropriate and timely decisions were reviewed, following ethical principles. The prioritization of invasive ventilatory support must be done in a transparent and objective manner, comprehensively evaluating the patient and based on objective criteria such as prognostic scales, life cycle or clinical commitment. Symptomatic treatment (including palliative care) is essential in this pandemic and communication with the patient or family makes it possible to humanize the care of health personnel.Objetivo. Los recursos hospitalarios resultan insuficientes ante la demanda de pacientes graves con COVID-19. La adecuada gestión de recursos es esencial para brindar la mejor atención posible. Se revisaron criterios que ayuden a tomar decisiones adecuadas y oportunas, siguiendo principios éticos. La priorización del soporte ventilatorio invasivo debe hacerse de manera transparente y objetiva, evaluando integralmente al paciente y basado en criterios objetivos como escalas de pronóstico, ciclo de vida o compromiso clínico. El tratamiento sintomático (incluyendo cuidados paliativos) es indispensable en esta pandemia y la comunicación con el paciente o la familia permiten humanizar la atención del personal de salud.Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo2021-02-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/77610.35434/rcmhnaaa.2020.134.776Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 13 No. 4 (2020): Rev. Cuerpo Med. HNAAA; 403 - 409Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 13 Núm. 4 (2020): Rev. Cuerpo Med. HNAAA; 403 - 4092227-47312225-5109reponame:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstname:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjoinstacron:HNAAAspahttps://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/776/382Derechos de autor 2020 Revista del Cuerpo Médico del HNAAAinfo:eu-repo/semantics/openAccessoai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/7762021-06-14T05:32:30Z
dc.title.none.fl_str_mv Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
Toma de decisiones y consideraciones éticas en el soporte ventilatorio en áreas críticas hospitalarias en el contexto de pandemia COVID-19
title Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
spellingShingle Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
Amado-Tineo, José Percy
Infecciones por Coronavirus
Betacoronavirus
Síndrome respiratorio agudo grave
Ventiladores mecánicos
Enfermedad crítica
Ética clínica
Manejo de Atención al Paciente
Coronavirus Infections
Betacoronavirus
Severe Acute Respiratory Syndrome
Ventilators
Mechanical
Critical Illness
Ethics
Clinical
Patient Care Management
title_short Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
title_full Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
title_fullStr Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
title_full_unstemmed Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
title_sort Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
dc.creator.none.fl_str_mv Amado-Tineo, José Percy
Garaycochea, Virginia
Portugal, José
Gonzales, Carolina
Cieza, Liliana
author Amado-Tineo, José Percy
author_facet Amado-Tineo, José Percy
Garaycochea, Virginia
Portugal, José
Gonzales, Carolina
Cieza, Liliana
author_role author
author2 Garaycochea, Virginia
Portugal, José
Gonzales, Carolina
Cieza, Liliana
author2_role author
author
author
author
dc.subject.none.fl_str_mv Infecciones por Coronavirus
Betacoronavirus
Síndrome respiratorio agudo grave
Ventiladores mecánicos
Enfermedad crítica
Ética clínica
Manejo de Atención al Paciente
Coronavirus Infections
Betacoronavirus
Severe Acute Respiratory Syndrome
Ventilators
Mechanical
Critical Illness
Ethics
Clinical
Patient Care Management
topic Infecciones por Coronavirus
Betacoronavirus
Síndrome respiratorio agudo grave
Ventiladores mecánicos
Enfermedad crítica
Ética clínica
Manejo de Atención al Paciente
Coronavirus Infections
Betacoronavirus
Severe Acute Respiratory Syndrome
Ventilators
Mechanical
Critical Illness
Ethics
Clinical
Patient Care Management
description Objetive. Hospital resources are insufficient given the demand for seriously ill patients with COVID-19. Proper resource management is essential to provide the best possible care. Criteria to help make appropriate and timely decisions were reviewed, following ethical principles. The prioritization of invasive ventilatory support must be done in a transparent and objective manner, comprehensively evaluating the patient and based on objective criteria such as prognostic scales, life cycle or clinical commitment. Symptomatic treatment (including palliative care) is essential in this pandemic and communication with the patient or family makes it possible to humanize the care of health personnel.
publishDate 2021
dc.date.none.fl_str_mv 2021-02-19
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/776
10.35434/rcmhnaaa.2020.134.776
url https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/776
identifier_str_mv 10.35434/rcmhnaaa.2020.134.776
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/776/382
dc.rights.none.fl_str_mv Derechos de autor 2020 Revista del Cuerpo Médico del HNAAA
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2020 Revista del Cuerpo Médico del HNAAA
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
publisher.none.fl_str_mv Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo
dc.source.none.fl_str_mv Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 13 No. 4 (2020): Rev. Cuerpo Med. HNAAA; 403 - 409
Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo; Vol. 13 Núm. 4 (2020): Rev. Cuerpo Med. HNAAA; 403 - 409
2227-4731
2225-5109
reponame:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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instname_str Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
instacron_str HNAAA
institution HNAAA
reponame_str Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
collection Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
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Decision-making and ethical considerations in ventilatory support in critical hospital areas in the context of the COVID-19 pandemic
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