Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales

The most difficult of treatment limitation decisions, both for physicians and families, is the withdrawal of mechanical ventilation (MV). Many fears and uncer-tainties appear in this decision. They are described as ten myths whose falseness is argued in this article. The myths are: 1) Withdrawing...

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Autores principales:	BECA I,JUAN PABLO, MONTES S,JOSÉ MIGUEL, ABARCA Z,JUAN
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Ethics, medical Life support systems Respiration, artificial
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500016
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spelling	oai:scielo:S0034-988720100005000162010-07-12Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminalesBECA I,JUAN PABLOMONTES S,JOSÉ MIGUELABARCA Z,JUAN Ethics, medical Life support systems Respiration, artificial The most difficult of treatment limitation decisions, both for physicians and families, is the withdrawal of mechanical ventilation (MV). Many fears and uncer-tainties appear in this decision. They are described as ten myths whose falseness is argued in this article. The myths are: 1) Withdrawing MV causes the patients death; 2) Withdrawing MV is euthanasia; 3) Withholding and withdrawing MV are morally different; 4) MV can be withdrawn only when the patient has asked for it; 5) Chilean law only authorizes to withdraw VM when brain death has occurred; 6) Withdrawing MV cannot be done if the patient is not an organ donor; 7) Physicians who withdraw MV are in high risk of legal claims; 8) To withdraw MV the physician needs an authorization from the hospital ethics committee, lawyer or institutional authority; 9) There is only one way to withdraw MV; 10) Withdrawing MV produces great suffering to the patients family. Making clear that these myths are false facilitates appropriate decisions, therefore preventing therapeutic obstinacy and more suffering of terminally ill patients, which favors their peaceful death. For the physician this goal should be as rewarding as preventing the death of a curable patient.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.5 20102010-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500016es10.4067/S0034-98872010000500016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Ethics, medical Life support systems Respiration, artificial
spellingShingle	Ethics, medical Life support systems Respiration, artificial BECA I,JUAN PABLO MONTES S,JOSÉ MIGUEL ABARCA Z,JUAN Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales
description	The most difficult of treatment limitation decisions, both for physicians and families, is the withdrawal of mechanical ventilation (MV). Many fears and uncer-tainties appear in this decision. They are described as ten myths whose falseness is argued in this article. The myths are: 1) Withdrawing MV causes the patients death; 2) Withdrawing MV is euthanasia; 3) Withholding and withdrawing MV are morally different; 4) MV can be withdrawn only when the patient has asked for it; 5) Chilean law only authorizes to withdraw VM when brain death has occurred; 6) Withdrawing MV cannot be done if the patient is not an organ donor; 7) Physicians who withdraw MV are in high risk of legal claims; 8) To withdraw MV the physician needs an authorization from the hospital ethics committee, lawyer or institutional authority; 9) There is only one way to withdraw MV; 10) Withdrawing MV produces great suffering to the patients family. Making clear that these myths are false facilitates appropriate decisions, therefore preventing therapeutic obstinacy and more suffering of terminally ill patients, which favors their peaceful death. For the physician this goal should be as rewarding as preventing the death of a curable patient.
author	BECA I,JUAN PABLO MONTES S,JOSÉ MIGUEL ABARCA Z,JUAN
author_facet	BECA I,JUAN PABLO MONTES S,JOSÉ MIGUEL ABARCA Z,JUAN
author_sort	BECA I,JUAN PABLO
title	Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales
title_short	Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales
title_full	Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales
title_fullStr	Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales
title_full_unstemmed	Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales
title_sort	diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500016
work_keys_str_mv	AT becaijuanpablo diezmitossobreelretirodelaventilacionmecanicaenenfermosterminales AT montessjosemiguel diezmitossobreelretirodelaventilacionmecanicaenenfermosterminales AT abarcazjuan diezmitossobreelretirodelaventilacionmecanicaenenfermosterminales
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Diez mitos sobre el retiro de la ventilación mecánica en enfermos terminales

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