Mechanical ventilator as a shared resource for the COVID-19 pandemic
Abstract COVID-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.
Main Authors: | , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Academia Nacional de Medicina de México A.C.
2020
|
Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0016-38132020000400302 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0016-38132020000400302 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0016-381320200004003022021-05-25Mechanical ventilator as a shared resource for the COVID-19 pandemicVázquez-de Anda,Gilberto F.Ruíz-de Chávez,ManuelPérez-Castañeda,Ana I.Vázquez-Moreno,PamelaDávila-Fernández,Juan C.Delaye-Aguilar,Ma. Guadalupe COVID-19 Pandemic SARS-COV-2 Mechanical ventilator Bioethics Abstract COVID-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.info:eu-repo/semantics/openAccessAcademia Nacional de Medicina de México A.C.Gaceta médica de México v.156 n.4 20202020-08-01info:eu-repo/semantics/articletext/htmlhttp://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0016-38132020000400302en10.24875/gmm.m20000411 |
institution |
SCIELO |
collection |
OJS |
country |
México |
countrycode |
MX |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-mx |
tag |
revista |
region |
America del Norte |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Vázquez-de Anda,Gilberto F. Ruíz-de Chávez,Manuel Pérez-Castañeda,Ana I. Vázquez-Moreno,Pamela Dávila-Fernández,Juan C. Delaye-Aguilar,Ma. Guadalupe |
spellingShingle |
Vázquez-de Anda,Gilberto F. Ruíz-de Chávez,Manuel Pérez-Castañeda,Ana I. Vázquez-Moreno,Pamela Dávila-Fernández,Juan C. Delaye-Aguilar,Ma. Guadalupe Mechanical ventilator as a shared resource for the COVID-19 pandemic |
author_facet |
Vázquez-de Anda,Gilberto F. Ruíz-de Chávez,Manuel Pérez-Castañeda,Ana I. Vázquez-Moreno,Pamela Dávila-Fernández,Juan C. Delaye-Aguilar,Ma. Guadalupe |
author_sort |
Vázquez-de Anda,Gilberto F. |
title |
Mechanical ventilator as a shared resource for the COVID-19 pandemic |
title_short |
Mechanical ventilator as a shared resource for the COVID-19 pandemic |
title_full |
Mechanical ventilator as a shared resource for the COVID-19 pandemic |
title_fullStr |
Mechanical ventilator as a shared resource for the COVID-19 pandemic |
title_full_unstemmed |
Mechanical ventilator as a shared resource for the COVID-19 pandemic |
title_sort |
mechanical ventilator as a shared resource for the covid-19 pandemic |
description |
Abstract COVID-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. |
publisher |
Academia Nacional de Medicina de México A.C. |
publishDate |
2020 |
url |
http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0016-38132020000400302 |
work_keys_str_mv |
AT vazquezdeandagilbertof mechanicalventilatorasasharedresourceforthecovid19pandemic AT ruizdechavezmanuel mechanicalventilatorasasharedresourceforthecovid19pandemic AT perezcastanedaanai mechanicalventilatorasasharedresourceforthecovid19pandemic AT vazquezmorenopamela mechanicalventilatorasasharedresourceforthecovid19pandemic AT davilafernandezjuanc mechanicalventilatorasasharedresourceforthecovid19pandemic AT delayeaguilarmaguadalupe mechanicalventilatorasasharedresourceforthecovid19pandemic |
_version_ |
1756219506081923072 |