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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Pro/con clinical debate: Life support should have a special status among therapies, and patients or their families should have a right to insist on this treatment even if it will not improve outcome. | Available online http ccforum.eom content 8 4 231 Review Pro con clinical debate Life support should have a special status among therapies and patients or their families should have a right to insist on this treatment even if it will not improve outcome David Crippen1 and Laura Hawryluck2 Clinical Associate Professor Department of Critical Care Medicine University of Pittsburgh Medical Center Pittsburgh Philadelphia USA 2Assistant Professor Critical Care Medicine University Health Network University of Toronto Canada Corresponding author David Crippen crippen@pitt.edu Published online 19 February 2004 Critical Care 2004 8 231-233 DOI 10.1186 cc2823 This article is online at http ccforum.com content 8 4 231 2004 BioMed Central Ltd Abstract Most hospitals are facing the dilemma caused by demand for critical care beds outstripping supply. This imbalance is likely to get worse over the coming years as a result of many factors including aging of the population improved technology and improved therapies among other factors. As a result we are likely to have to make further tough decisions about rationing of this service. In this issue of Critical Care two authors debate the appropriateness of providing life support in accordance with a family s wishes to an individual who is unlikely to survive admission to the intensive care unit. Understanding both sides of this debate is an important aspect of an intensivist s job. Keywords critical care end of life futility mechanical ventilation treatment decisions The scenario You are called to the medical ward to see a patient who has worsening respiratory status and may require mechanical ventilation. When you arrive you are informed that based on many factors including age pre-existing quality of life and negligible chances of meaningful recovery many members of the medical team feel that admission to the intensive care unit ICU would not be appropriate for this patient. Unfortunately there are no advanced directives from the .