Equitable resource allocation in the intensive care unit: a descriptive ethical case

A patient with respiratory failure due to undiagnosed tuberculosis in the presence of HIV infection presents to the ICU in a foreign country. This raises many ethical questions, quite apart from the medical management issues raised by the patient's serious condition. Six of these ethical questi...

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Bibliographic Details
Published in:Critical care and resuscitation 2006-06, Vol.8 (2), p.123-128
Main Authors: Lewis, Elchanan, van Heerden, P Vernon, Hawker, Felicity H, Kallenbach, Jeremy M, Raper, Raymond F, Clinton, Colin W, McEwen, Peter M, Rubinow, Alan
Format: Article
Language:English
Subjects:
Adult
Anti-Retroviral Agents - economics
Anti-Retroviral Agents - therapeutic use
Antitubercular Agents - economics
Antitubercular Agents - therapeutic use
Australia
Complications
Contact Tracing
Critical Care - ethics
Disease Notification
HIV infections
HIV Infections - complications
HIV Infections - drug therapy
Humans
Intensive Care Units
Intubation, Intratracheal
Male
Medical ethics
Patient Discharge
Refugees
Refusal to Treat
Resource Allocation - ethics
Respiration, Artificial
Respiratory Insufficiency - complications
Respiratory Insufficiency - microbiology
Respiratory Insufficiency - therapy
Tuberculosis, Pulmonary - complications
Tuberculosis, Pulmonary - diagnosis
Tuberculosis, Pulmonary - drug therapy
Withholding Treatment
Citations: Items that this one cites
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Summary:A patient with respiratory failure due to undiagnosed tuberculosis in the presence of HIV infection presents to the ICU in a foreign country. This raises many ethical questions, quite apart from the medical management issues raised by the patient's serious condition. Six of these ethical questions have been presented to leading physicians and an ethicist, from a range of national, cultural and religious backgrounds, for their comment. (author abstract)
ISSN:1441-2772
DOI:10.1016/S1441-2772(23)01409-6