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DNR en el OR. La reanimación como riesgo operativo
1Department of Internal Medicine, University of South Florida College of Medicine, Tampa 33612-4799.
JAMA
|November 6, 1991
Resumen
Las órdenes de no resucitar (DNR) deben cumplirse durante la cirugía paliativa. Esto respeta la autonomía del paciente, lo que les permite sopesar los beneficios quirúrgicos contra los riesgos de reanimación sin la interferencia del médico.
Área de la Ciencia:
- Ética médica y ética médica.
- Oncología Quirúrgica Oncología Quirúrgica.
- Los cuidados paliativos son cuidados paliativos.
Sus antecedentes:
- Las órdenes de no resucitar (DNR) a menudo se anulan antes de la cirugía paliativa.
- Esto crea un conflicto entre los deseos del paciente y las intervenciones quirúrgicas.
- Las políticas existentes de DNR pasan por alto el dilema ético de la reanimación intraoperatoria.
Objetivo del estudio:
- Para argumentar por la permisividad de honrar las órdenes DNR intraoperativas.
- Abordar las consideraciones éticas para los médicos durante la cirugía paliativa.
- Explorar el equilibrio entre la autonomía del paciente y la responsabilidad del médico.
Principales métodos:
- Análisis ético de los derechos del paciente frente a las preocupaciones del médico.
- Comparación con situaciones análogas (por ejemplo, los testigos de Jehová).
- Aplicación de la doctrina del doble efecto.
Principales resultados:
- El derecho del paciente a rechazar el tratamiento es primordial.
- Las preocupaciones morales de los médicos pueden mitigarse a través de marcos éticos.
- La muerte intraoperatoria durante la cirugía paliativa puede verse como un doble efecto.
Conclusiones:
- Las órdenes DNR intraoperatorias deben ser honradas.
- Respetar la autonomía del paciente en la cirugía paliativa es crucial.
- Las consideraciones éticas apoyan el cumplimiento de las órdenes de DNR para defender los derechos del paciente.
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