Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered Questions

End-of-life can be at different locations. Intensive care admission and progression to the terminal stage is one of these locations. The condition progresses to an unfortunate state where finally it is decided to initiate comfort care, terminal extubation, or change the status to no further therapy....

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Main Authors: Tariq Janjua, Masood Kisana, Luis Rafael Moscote-Salazar
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2023-02-01
Series:Journal of Medical Academics
Subjects:
Online Access:https://www.jmaacms.com/doi/JOMA/pdf/10.5005/jp-journals-11003-0111
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author Tariq Janjua
Masood Kisana
Luis Rafael Moscote-Salazar
author_facet Tariq Janjua
Masood Kisana
Luis Rafael Moscote-Salazar
author_sort Tariq Janjua
collection DOAJ
description End-of-life can be at different locations. Intensive care admission and progression to the terminal stage is one of these locations. The condition progresses to an unfortunate state where finally it is decided to initiate comfort care, terminal extubation, or change the status to no further therapy. Modern advancements in health care include the application of an extensive list of medical devices to continue functional life in an outpatient setting or support critical care conditions. Both of these situations can have periods where medical device function makes critical decisions difficult. Patients, families, and sometimes healthcare providers discuss and do their best what has to be done to deal with these devices as the end-of-life approaches. Here we bring up some questions, not clearly defined in medical practice and suggest some options. As medical care gets more complex, there will be newer editions to these devices and further questions will arise. To make the point more clear, the below-mentioned case may help with the questions to follow.
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spelling doaj-art-e2418aefb0b1412499afe083a59e25092025-08-20T02:36:49ZengJaypee Brothers Medical PublisherJournal of Medical Academics2581-82792023-02-0151--2343610.5005/jp-journals-11003-011110Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered QuestionsTariq Janjua0https://orcid.org/0000-0001-5852-0090Masood Kisana1Luis Rafael Moscote-Salazar2https://orcid.org/0000-0002-4180-6962Department of Critical Care, Physicians Regional Medical Center, Naples, Florida, United StatesDepartment of Palliative Care Medicine, Carl T. Hayden Veterans’ Administration Medical Center, Phoenix, Arizona, United StatesLuis Rafael Moscote-Salazar, Colombian Clinical Research Group in Neurocritical Care, Bogota, Colombia, Phone: +5700573385978End-of-life can be at different locations. Intensive care admission and progression to the terminal stage is one of these locations. The condition progresses to an unfortunate state where finally it is decided to initiate comfort care, terminal extubation, or change the status to no further therapy. Modern advancements in health care include the application of an extensive list of medical devices to continue functional life in an outpatient setting or support critical care conditions. Both of these situations can have periods where medical device function makes critical decisions difficult. Patients, families, and sometimes healthcare providers discuss and do their best what has to be done to deal with these devices as the end-of-life approaches. Here we bring up some questions, not clearly defined in medical practice and suggest some options. As medical care gets more complex, there will be newer editions to these devices and further questions will arise. To make the point more clear, the below-mentioned case may help with the questions to follow.https://www.jmaacms.com/doi/JOMA/pdf/10.5005/jp-journals-11003-0111critical careethicsmedical device
spellingShingle Tariq Janjua
Masood Kisana
Luis Rafael Moscote-Salazar
Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered Questions
Journal of Medical Academics
critical care
ethics
medical device
title Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered Questions
title_full Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered Questions
title_fullStr Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered Questions
title_full_unstemmed Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered Questions
title_short Mechanical Medical Devices in Intensive Care and End-of-life: Unanswered Questions
title_sort mechanical medical devices in intensive care and end of life unanswered questions
topic critical care
ethics
medical device
url https://www.jmaacms.com/doi/JOMA/pdf/10.5005/jp-journals-11003-0111
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