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26-05-2022 | Triage | Correspondence

Beyond failure or success: reflections on the ethical justifications for time-limited trial of intensive care

Authors: Emmanuel Hei-Lok Cheung, Jonathan Chun-Hei Cheung, Yu-Yeung Yip

Published in: Intensive Care Medicine | Issue 7/2022

Excerpt

We thank Donaldson [1] for his tremendous interest in our discussion of time-limited trial (TLT) of intensive care [2, 3]. We are grateful that Donaldson concurred with us that “the clinical uncertainty inherent in ICU triage will, in many contexts, make exact prognostication impossible” [1]. …

Donaldson TM (2022) Death during life sustaining treatment must be considered a failure but can be acceptable if the treatment was proportional. Intensive Care Med. https://doi.org/10.1007/s00134-022-06657-6CrossRefPubMed

Cheung EHL, Cheung JCH, Yip YY (2022) Raising awareness for time-limited trial discussion upon ICU triage and admission. Intensive Care Med 48:240–241. https://doi.org/10.1007/s00134-021-06590-0CrossRefPubMed

Cheung EHL, Cheung JCH, Yip YY (2022) Time-limited trial of intensive care is more than merely life sustaining. Intensive Care Med 48:507–508. https://doi.org/10.1007/s00134-022-06644-xCrossRefPubMed

Gardiner P (2003) A virtue ethics approach to moral dilemmas in medicine. J Med Ethics 29:297–302. https://doi.org/10.1136/jme.29.5.297CrossRefPubMedPubMedCentral

Wong ELY, Kiang N, Chung RYN et al (2020) Quality of palliative and end-of-life care in Hong Kong: perspectives of Healthcare Providers. Int J Environ Res Public Health 17:5130. https://doi.org/10.3390/ijerph17145130CrossRefPubMedCentral

Title: Beyond failure or success: reflections on the ethical justifications for time-limited trial of intensive care
Authors: Emmanuel Hei-Lok Cheung
Jonathan Chun-Hei Cheung
Yu-Yeung Yip
Publication date: 26-05-2022
Publisher: Springer Berlin Heidelberg
Keywords: Triage
Care
Published in: Intensive Care Medicine / Issue 7/2022
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-022-06752-8

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Beyond failure or success: reflections on the ethical justifications for time-limited trial of intensive care

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