El ventilador mecánico como recurso divisible ante la pandemia de COVID-19
| Autor: | Juan C. Dávila-Fernández, Manuel H Ruiz de Chávez, Pamela Vázquez-Moreno, Ma. Guadalupe Delaye-Aguilar, Gilberto Felipe Vázquez-De Anda, Ana Ivonne Pérez-Castañeda |
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| Rok vydání: | 2020 |
| Předmět: |
03 medical and health sciences
2019-20 coronavirus outbreak 0302 clinical medicine Coronavirus disease 2019 (COVID-19) Mechanical ventilator Political science Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Intensive care Critical illness 030212 general & internal medicine General Medicine Humanities Healthcare system |
| Zdroj: | Gaceta Médica de México. 156 |
| ISSN: | 0016-3813 |
| DOI: | 10.24875/gmm.20000352 |
| Popis: | espanolCOVID-19, cuyo agente causal es un nuevo tipo de coronavirus denominado SARS-CoV-2, ha provocado la pandemia mas grave en los ultimos 100 anos. La afeccion es principalmente respiratoria y hasta 5 % de los pacientes desarrolla enfermedad critica, lo cual ha producido una enorme presion sobre los sistemas de salud de los paises afectados. Principalmente se ha observado alta demanda de atencion en las unidades de cuidados intensivos y de recursos de atencion vital. De ahi la necesidad de redistribuir los recursos en medicina critica, con enfasis en la justicia distributiva, la cual establece atender al mayor numero de personas y salvar el mayor numero de vidas. Un principio estriba en asignar los recursos a pacientes con mayores expectativas de vida. Se ha dado por hecho que el ventilador mecanico es un bien indivisible; sin embargo, tecnicamente es posible la ventilacion mecanica simultanea a mas de un paciente con COVID-19. La accion de compartir el ventilador no esta exenta de riesgos, pero prevalecen los principios de beneficencia, no maleficencia y justicia. Conforme la justicia distributiva, al ser un bien divisible, el ventilador mecanico puede ser compartido, sin embargo, cabe preguntarse si esta accion es eticamente correcta. EnglishCOVID-19, the causative agent of which is a new type of coronavirus called SARS-CoV-2, has caused the most severe pandemic in the last 100 years. The condition is mainly respiratory, and up to 5% of patients develop critical illness, a situation that has put enormous pressure on the health systems of affected countries. A high demand for care has mainly been observed in intensive care units and critical care resources, which is why the need to redistribute resources in critical medicine emerged, with an emphasis on distributive justice, which establishes the provision of care to the largest number of people and saving the largest number of lives. One principle lies in allocating resources to patients with higher life expectancy. Mechanical ventilator has been assumed to be an indivisible asset; however, simultaneous mechanical ventilation to more than one patient with COVID-19 is technically possible. Ventilator sharing is not without risks, but the principles of beneficence, non-maleficence and justice prevail. According to distributive justice, being a divisible resource, mechanical ventilator can be shared; however, we should ask ourselves if this action is ethically correct. |
| Databáze: | OpenAIRE |
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