La gestión de soportes vitales escasos en contextos de pandemia. Reflexiones acerca de la aplicación de triajes en el marco del COVID-19
- Carlos María Romeo Casabona
- Asier Urruela Mora
ISSN: 1886-5887
Year of publication: 2020
Issue: 50
Pages: 99-112
Type: Article
More publications in: Revista de bioética y derecho: publicación del Máster en bioética y derecho
Sustainable development goals
Abstract
In the context of a worldwide pandemic such as COVID-19, one of the greatest bioethical dilemmas that arise is the management of certain scarce medical devices, such as ventilators (mechanical ventilation), since the survival of many critically ill patients depends on the access to these ventilators. The present paper tries to determine the criteria applicable for the management of these medical devices in a context of extreme scarcity to face the needs of all the patients who require them. To this end, the comparative literature on the subject as well as different institutional and academic reports in the field of bioethics are analysed.
Bibliographic References
- Christian, M.D.; Hawryluck, L. et al. (2006). Development of a triage protocol for critical care during an influenza pandemic. CMAJ, 175, 11.
- Comisión Central de Deontología del Consejo General de Colegios Oficiales de Médicos (2020). Informe en relación a la priorización de las decisiones sobre los enfermos en estado crítico en una catástrofe sanitaria. [En línea]. Disponible en: https://www.cgcom.es/informe-de-lacomisi%C3%B3n-central-de-deontolog%C3%ADa-en-relaci%C3%B3n-lapriorizaci%C3%B3n-de-las-decisiones-sobre [Consulta: 22 de mayo de 2020].
- Comité de Bioética de España (2020). Informe sobre los aspectos bioéticos de la priorización de recursos sanitarios en el contexto de la crisis del coronavirus, 4. [En línea]. Disponible en: http://www.comitedebioetica.es/documentacion/#doc_crisis_coronavirus [Consulta: 22 de mayo de 2020].
- Devereaux, A.V. ; Dichter, J.R. et al.(2008). Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care. Chest Journal, 133, 5.
- Hick, J.L.; O’Laughlin, D.T. (2006). Concept of operations for triage of mechanical ventilation in an epidemic. Acad Emerg Med, 13, 2.
- Powell, T.; Christ, K.C.; Birkhead, G.S. (2008). Allocation of ventilators in a public health disaster. Disaster Medicine and Public Health Preparedness, 2, 1.
- Romeo Casabona, C.M. (Coord.); Urruela Mora, A. (co-redactores) et al. (2020). Informe del Ministerio de Sanidad sobre los aspectos éticos en situaciones de pandemia: el SARS-CoV-2. [En línea]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCovChina/documentos/200403-INFORME_PANDEMIA-FINAL-MAQUETADO.pdf [Consulta: 22 de mayo de 2020].
- SEMICYUC (2020). Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19, 53. [En línea]. Disponible en: https://www.semicyuc.org/covid19_files/Plan_de_Contingencia_COVID-19.pdf [Consulta: 22 de mayo de 2020].
- SIAARTI (Italia). (2020). Raccomandazioni di Etica Clinica per l’ammissione a trattamenti intensivi e per la loro sospensione, in condizioni eccezionali di squilibrio tra necessità e risorse disponibili. [En línea]. Disponible en: https://www.siaarti.it/SiteAssets/News/COVID19%20-%20documenti%20SIAARTI/SIAARTI%20-%20Covid19%20-%20Raccomandazioni%20di%20etica%20clinica.pdf [Consulta: 22 de mayo de 2020].
- White, D.B.; Katz, M.H. et al. (2009). Who should receive life support during a public health emergency? Using ethical principles to improve allocation decisions. Ann. Intern Med, 150, 2.
- WHO (2016). Guidance for managing ethical issues in infectious disease outbreaks. Geneva: WHO, 21.