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Published in: Neurocritical Care 1/2015

01-08-2015 | Editorial

Observations on Ethical Issues in the Neuro-ICU

Author: James L. Bernat

Published in: Neurocritical Care | Issue 1/2015

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Excerpt

In this issue of Neurocritical Care, Souter et al. from the Neurocritical Care Society report their recommendations for optimizing the management of patients with devastating brain injuries [1]. They analyzed evidence and expert opinion to formulate best practices for several aspects of neuro-ICU care. Their guidance likely will inform the standard of medical care of these patients for at least the remainder of this decade. …
Literature
1.
go back to reference Souter MJ, Blissitt PA, Blosser S, et al. Recommendations for the critical care management of devastating brain injury: prognostication, psychosocial and ethical management. A position statement for healthcare professionals from the Neurocritical Care Society. Neurocrit Care. 2015. doi:10.1007/s12028-015-0137-6. Souter MJ, Blissitt PA, Blosser S, et al. Recommendations for the critical care management of devastating brain injury: prognostication, psychosocial and ethical management. A position statement for healthcare professionals from the Neurocritical Care Society. Neurocrit Care. 2015. doi:10.​1007/​s12028-015-0137-6.
2.
go back to reference Bernat JL. Ethical Issues in Neurology. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. Bernat JL. Ethical Issues in Neurology. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2008.
3.
go back to reference Murray LS, Teasdale GM, Murray GD, et al. Does prediction of outcome alter patient management? Lancet. 1993;341:1487–91.PubMedCrossRef Murray LS, Teasdale GM, Murray GD, et al. Does prediction of outcome alter patient management? Lancet. 1993;341:1487–91.PubMedCrossRef
4.
go back to reference Bernat JL. Ethical aspects of determining and communicating prognosis in critical care. Neurocrit Care. 2004;1:107–17.PubMedCrossRef Bernat JL. Ethical aspects of determining and communicating prognosis in critical care. Neurocrit Care. 2004;1:107–17.PubMedCrossRef
5.
go back to reference Justice AC, Covinsky KE, Berlin JA. Assessing the generalizability of prognostic information. Arch Intern Med. 1999;130:515–24. Justice AC, Covinsky KE, Berlin JA. Assessing the generalizability of prognostic information. Arch Intern Med. 1999;130:515–24.
6.
go back to reference Braitman LE, Davidoff F. Predicting clinical states in individual patients. Ann Intern Med. 1996;125:406–12.PubMedCrossRef Braitman LE, Davidoff F. Predicting clinical states in individual patients. Ann Intern Med. 1996;125:406–12.PubMedCrossRef
7.
go back to reference Shewmon DA, De Giorgio CM. Early prognosis in anoxic coma: reliability and rationale. Neurol Clin. 1989;7:823–43.PubMed Shewmon DA, De Giorgio CM. Early prognosis in anoxic coma: reliability and rationale. Neurol Clin. 1989;7:823–43.PubMed
8.
go back to reference Becker KJ, Baxter AB, Cohen WA, et al. Withdrawal of support in intracerebral hemorrhage may lead to self-fulfilling prophecies. Neurology. 2001;56:766–72.PubMedCrossRef Becker KJ, Baxter AB, Cohen WA, et al. Withdrawal of support in intracerebral hemorrhage may lead to self-fulfilling prophecies. Neurology. 2001;56:766–72.PubMedCrossRef
9.
go back to reference Vig EK, Starks H, Taylor JS, Hopley EK, Fryer-Edwards K. Surviving surrogate decision-making: what helps and hampers the experience of making medical decisions for others. J Gen Intern Med. 2007;22:1274–9.PubMedCentralPubMedCrossRef Vig EK, Starks H, Taylor JS, Hopley EK, Fryer-Edwards K. Surviving surrogate decision-making: what helps and hampers the experience of making medical decisions for others. J Gen Intern Med. 2007;22:1274–9.PubMedCentralPubMedCrossRef
11.
go back to reference Tversky A, Kahneman D. The framing of decisions and the psychology of choice. Science. 1981;211:453–8.PubMedCrossRef Tversky A, Kahneman D. The framing of decisions and the psychology of choice. Science. 1981;211:453–8.PubMedCrossRef
12.
go back to reference White DB, Malvar G, Karr J, Lo B, Curtis JR. Expanding the paradigm of the physician’s role in surrogate decision-making: an empirically derived network. Crit Care Med. 2010;38:743–50.PubMedCentralPubMedCrossRef White DB, Malvar G, Karr J, Lo B, Curtis JR. Expanding the paradigm of the physician’s role in surrogate decision-making: an empirically derived network. Crit Care Med. 2010;38:743–50.PubMedCentralPubMedCrossRef
13.
14.
go back to reference Aslakson RA, Curtis JR, Nelson JE. The changing role of palliative care in the ICU. Crit Care Med. 2014;42:2418–28.PubMedCrossRef Aslakson RA, Curtis JR, Nelson JE. The changing role of palliative care in the ICU. Crit Care Med. 2014;42:2418–28.PubMedCrossRef
15.
16.
go back to reference Truog RD. Consent for organ donation—balancing conflicting ethical obligations. N Engl J Med. 2008;358:1209–11.PubMedCrossRef Truog RD. Consent for organ donation—balancing conflicting ethical obligations. N Engl J Med. 2008;358:1209–11.PubMedCrossRef
17.
go back to reference Zink S, Wertleib S. A study of the presumptive approach to consent for organ donation: a new solution to an old problem. Crit Care Nurse. 2006;26:129–36.PubMed Zink S, Wertleib S. A study of the presumptive approach to consent for organ donation: a new solution to an old problem. Crit Care Nurse. 2006;26:129–36.PubMed
18.
go back to reference Luskin RS, Glazier AK, Delmonico FL. Organ donation and dual advocacy. N Engl J Med. 2008;358:1207–8.CrossRef Luskin RS, Glazier AK, Delmonico FL. Organ donation and dual advocacy. N Engl J Med. 2008;358:1207–8.CrossRef
Metadata
Title
Observations on Ethical Issues in the Neuro-ICU
Author
James L. Bernat
Publication date
01-08-2015
Publisher
Springer US
Published in
Neurocritical Care / Issue 1/2015
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-015-0142-9

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