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Journal Information
Vol. 12. Issue 3.
Pages 281-292 (May - June 2006)
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Vol. 12. Issue 3.
Pages 281-292 (May - June 2006)
Artigo de Opinião\Opinion Article
Open Access
Ventilação mecânica e obstinação terapêutica ou distanásia, a dialéctica da alta tecnologia em medicina intensiva
Mechanical ventilation and medical futility or dysthanasia, the dialectic of high technology in intensive medicine
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5246
Filipe Monteiro*
* Assistente Hospitalar Graduado no Serviço de Pneumologia do Hospital de Santa Maria, Lisboa. Mestre em Bioética
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Under a Creative Commons license
Article information
Resumo

Distanásia ou qualquer um dos seus sinónimos é uma consequência do excesso terapêutico em relação ao prognóstico esperado. A obstinação terapêutica é um dos dilemas éticos mais angustiantes no quotidiano de medicina intensiva, apesar de a sua apreciação encontrar um suporte normativo em várias instituições e organizações. A manutenção ou não suspensão da ventilação mecânica numa determinada circunstância de fim de vida pode ser considerado como um exemplo paradigmático de obstinação terapêutica.

A compreensão desta postura passa pela análise e reflexão do acto médico à luz de alguns conceitos ético-filosóficos.

Rev Port Pneumol 2006; XII (3): 281-291

Palavras-chave:
Ética
obstinação terapêutica
distanásia
medicina intensiva
Abstract

Dysthanasia or any of its synonyms is a consequence of excessive technical science, without any reasonable chance of achieving a therapeutic benefit for the patient.

Medical futility is a distressing ethical dilemma of intensive care medicine. Its recognition has led to a precept support in various institutions and organizations.

Not withdrawing or withholding mechanical ventilation in certain circumstances can be considered as a paradigmatic model of medical futility.

The understanding of this posture implies a philo sophical approach and reflexion of medical practice.

Rev Port Pneumol 2006; XII (3): 281-291

Key-words:
Ethics
medical futility
dysthanasia
intensive medicine
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Copyright © 2006. Sociedade Portuguesa de Pneumologia/SPP
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