tailieunhanh - Báo cáo khoa học: "Ethics review: Dark angels – the problem of death in intensive care"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Ethics review: Dark angels – the problem of death in intensive care. | Available online http content 11 1 202 Review Ethics review Dark angels - the problem of death in intensive care David W Crippen 1 and Leslie M Whetstine2 1 Department of Critical Care Medicine University of Pittsburgh Medical Center 200 Lothrop Street Pittsburgh PA 15621 USA 2Duquesne University Health care Ethics Center Pittsburgh PA 15282 USA Corresponding author David W Crippen Crippen@ Published 17 January 2007 Critical Care 2007 11 202 doi cc5138 This article is online at http content 11 1 202 2007 BioMed Central Ltd Abstract Critical care medicine has expanded the envelope of debilitating disease through the application of an aggressive and invasive care plan part of which is designed to identify and reverse organ dysfunction before it proceeds to organ failure. For a select patient population this care plan has been remarkably successful. But because patient selection is very broad critical care sometimes yields amalgams of life in death the state of being unable to participate in human life unable to die at least in the traditional sense. This work examines the emerging paradox of somatic versus brain death and why it matters to medical science. Ere. He says he s not dead Well he will be soon. He s very ill. I m getting better No you re not. You ll be stone dead in a moment. I can t take him like that. It s against regulations. Monty Python and the Holy Grail In the new millennium medical advances have changed the landscape of death by blurring the distinction of not only the timing but also the nature of death. Before the postmodern technological revolution determination of death was simple. The old adage a person is dead when a physician says so was the acceptable standard because the exact moment of death did not matter. But as Whetstine s research shows in the age of organ transplantation recovering living organs from clinically dead bodies raises conceptual problems 1 . Resuscitative technology can produce .