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.

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Main Authors: Vázquez-de Anda,Gilberto F., Ruíz-de Chávez,Manuel, Pérez-Castañeda,Ana I., Vázquez-Moreno,Pamela, Dávila-Fernández,Juan C., Delaye-Aguilar,Ma. Guadalupe
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
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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
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libraryname SciELO
language English
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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
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