When Should Neuroendovascular Care for Patients With Acute Stroke Be Palliative?
When Should Neuroendovascular Care for Patients With Acute Stroke Be Palliative?
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DOI：
10.1001/amajethics.2021.783
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发表时间：
2021-10-01
影响因子：
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通讯作者：
Leslie-Mazwi TM
中科院分区：
文献类型：
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作者：
Young MJ;Regenhardt RW;Sokol LL;Leslie-Mazwi TM
旨在减轻严重疾病期间或生命即将结束时的痛苦的非治愈性手术已在姑息治疗环境中进行了分析。然而，当患者发生缺血性卒中和其他神经系统并发症且通过其他新型疾病缓解干预措施延长生存期时，可提供的临床管理决策却很少，可用于指导临床管理决策是否、何时以及应提供哪些干预措施。本病例和评论探讨了急性卒中患者姑息性神经血管内护理中的关键伦理和临床考虑因素。
Noncurative surgeries intended to relieve suffering during serious illness or near end of life have been analyzed across palliative settings. Yet, sparse guidance is available to inform clinical management decisions about whether, when, and which interventions should be offered when ischemic stroke and other neurological complications occur in patients whose survival is extended by other novel disease-modifying interventions. This case and commentary examine key ethical and clinical considerations in palliative neuroendovascular care of patients with acute stroke.