Abstract
Allocation of resources is frequently thought to be an issue in third world countries who may regularly struggle with limited resources. Resource allocation, however, may be frequently encountered within critical care units. The seemingly simple struggle with limited beds or limited medication supply can regularly require providers to make allocation decisions. Additionally, critical care units are always faced with the possibility of a sudden surge of patients through unanticipated mass casualty or natural disaster. The healthcare team and institution should have knowledge surrounding ethical frameworks for allocation of limited resources. The chapter discusses various mechanisms for decision making surrounding allocation of scarce resources for physicians, hospitals and policy makers.
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References
Antommaria, A.H., J. Sweney, and W.B. Poss. 2010. Critical appraisal of: Triaging pediatric critical care resources during a pandemic: Ethical and medical considerations. Pediatric Critical Care Medicine 11 (3): 396–400.
Antommaria, A.H., et al. 2011. Ethical issues in pediatric emergency mass critical care. Pediatric Critical Care Medicine 12 (6 Suppl): S163–S168.
Biddison, L.D., et al. 2014. Ethical considerations: Care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest 146 (4 Suppl): e145S–e155S.
Burns, J.P., and C. Mitchell. 2011. Resource allocation and triage in disasters and pandemics. In Clinical ethics in pediatrics: A case-based textbook, vol. xiv, p. 248, Cambridge: Cambridge University Press.
Christian, M.D., et al. 2014a. Introduction and executive summary: Care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest 146 (4 Suppl): 8S–34S.
Christian, M.D., et al. 2014b. Triage: Care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest 146 (4 Suppl): e61S–e74S.
Devereaux, A., et al. 2008a. Summary of suggestions from the task force for mass critical care summit, January 26–27, 2007. Chest 133 (5 Suppl): 1S–7S.
Devereaux, A.V., et al. 2008b. Definitive care for the critically ill during a disaster: A framework for allocation of scarce resources in mass critical care: From a task force for mass critical care summit meeting, January 26–27, 2007, Chicago, IL. Chest 133 (5 Suppl): 51S–66S.
Ethical considerations in the allocation of organs and other scarce medical resources among patients 1995. Council on Ethical and Judicial Affairs, American Medical Association. Archives of International Medicine 155 (1): 29–40.
Fink, S. 2013. Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital. New York: Crown Publishers.
Kissoon, N. 2011. Task force for pediatric emergency mass critical care. Pediatric Critical Care Medicine 12 (6 Suppl): S103–S108.
McCullough, M.A. 2018. Historic adult-to-child lung transplant saved their daughter, who’s now a thriving teen. The Inquirer.
Organ Procurement and Transplantation Network. (2014). Ethical principles of pediatric organ allocation. Available from https://optn.transplant.hrsa.gov/resources/ethics/ethical-principles-of-pediatric-organ-allocation/.
Persad, G., A. Wertheimer, and E.J. Emanuel. 2009. Principles for allocation of scarce medical interventions. Lancet 373 (9661): 423–431.
Rubin, M.A., and R.D. Truog. 2017. What to do when there aren’t enough beds in the PICU. AMA Journal of Ethics 19 (2): 157–163.
Rubinson, L., et al. 2008. Definitive care for the critically ill during a disaster: A framework for optimizing critical care surge capacity: From a task force for mass critical care summit meeting, January 26–27, 2007, Chicago, IL. Chest 133 (5 Suppl): 18S–31S.
Scheunemann, L.P., and D.B. White. 2011. The ethics and reality of rationing in medicine. Chest 140 (6): 1625–1632.
Sprung, C.L., et al. 2013. Triage of intensive care patients: Identifying agreement and controversy. Intensive Care Medicine 39 (11): 1916–1924.
Strech, D., et al. 2009. Are physicians willing to ration health care? Conflicting findings in a systematic review of survey research. Health Policy 90 (2–3): 113–124.
Ward, N.S., et al. 2008. Perceptions of cost constraints, resource limitations, and rationing in united states intensive care units: Results of a National survey. Critical Care Medicine 36 (2): 471–476.
Wightman, A., et al. 2014. Who should get the last picu bed? Pediatrics 133 (5): 907–912.
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Miller-Smith, L., Finnsdóttir Wagner, Á., Lantos, J.D. (2019). Critical Care Resource Utilization. In: Bioethics in the Pediatric ICU: Ethical Dilemmas Encountered in the Care of Critically Ill Children. International Library of Ethics, Law, and the New Medicine, vol 77. Springer, Cham. https://doi.org/10.1007/978-3-030-00943-4_8
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DOI: https://doi.org/10.1007/978-3-030-00943-4_8
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