Cranioplasty with bandaging. New forms of limitation of life support and organ donation.


:Most of transplanted organs are obtained from brain death (BD) donors. In neurocritical patients with catastrophic injuries and decompressive craniectomy (DC), which show a dreadful development in spite of this treatment, DC could be a futile tool to avoid natural progress to BD. We propose if cranial compressive bandage (cranioplasty with bandage) could be an ethically correct practice, similar to other life-sustaining treatment limitation (LSTL) common methods. Based on a clinical case, we contacted with the Assistance Ethics Committee and some bioethics professionals asking them two questions: 1) Is ethically correct to perform a cranioplasty with bandage in those patients with LSTL indication? 2) Thinking in organ donation possibility, is this option preferable? Conclusions 1) Cranioplasty with bandage could be considered an ethically acceptable LSTL practice, similar to other procedures. 2) It facilitates organ donation for transplant, which provides value-added because of its own social good. 3) In these cases, it is necessary to know previous patient's will or, in absentia, to obtain family consent after a detailed procedure report.


Med Intensiva


Medicina intensiva


Escudero D,Cofiño L,Gracia D,Palacios M,Casares M,Cabré L,Simón P,Miranda P,Martínez K,Iribarren S,Saralegui I,Simó RM,de León B,Español V




Has Abstract


2013-04-01 00:00:00














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    journal_title:Medicina intensiva

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    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


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    journal_title:Medicina intensiva

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    pub_type: 杂志文章,评审


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    journal_title:Medicina intensiva

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    abstract::Severe acute pancreatitis (SAP) causes local and systemic complications leading to high catabolic, hypermetabolic and hyperdynamic stress states with marked morbidity and mortality. In the last decade, nutritional support has become a key element in the treatment of SAP. Thus, specialized nutrition is indicated from a...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引


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    pub_type: 杂志文章


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    pub_type: 杂志文章


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    journal_title:Medicina intensiva

    pub_type: 杂志文章


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    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引


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    journal_title:Medicina intensiva

    pub_type: 杂志文章


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    journal_title:Medicina intensiva

    pub_type: 杂志文章


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    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: de Pablo R,Monserrat J,Prieto A,Alvarez-Mon M

    更新日期:2013-11-01 00:00:00

  • Incidents related to critical patient safety during in-hospital transfer.

    abstract:OBJECTIVE:To analyze the incidents related to patient safety (IRSP) and their risk factors during in-hospital transfer (IHT) of critical patients after the application of a protocol, and to evaluate safety during transfer using quality indicators. DESIGN:A prospective, observational and non-intervention cohort study w...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Catalán-Ibars RM,Martín-Delgado MC,Puigoriol-Juvanteny E,Zapater-Casanova E,Lopez-Alabern M,Lopera-Caballero JL,González de Velasco JP,Coll-Solà M,Juanola-Codina M,Roger-Casals N

    更新日期:2020-07-15 00:00:00

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    abstract::These recommendations are designed to be of assistance to doctors in ICUs when making first evaluations of these patients. They are mainly intended to assist with early diagnosis, risk stratification and initial treatment. The need for individualised treatment is at present one of the main objectives in the management...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引,评审


    authors: Civeira Murillo E,Del Nogal Saez F,Alvarez Ruiz AP,Ferrero Zorita J,Alcantara AG,Aguado GH,López Messa JB,Montón Rodríguez JA,Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP.

    更新日期:2010-01-01 00:00:00

  • [Liver transplantation: influence of donor-related factors].

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    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Seller-Pérez G,Herrera-Gutiérrez ME,Lebrón-Gallardo M,Moreno-Quintana J,Banderas-Bravo E,Quesada-García G

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    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Álvarez Maldonado P,Cueto Robledo G,Cicero Sabido R

    更新日期:2015-04-01 00:00:00

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    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Torres-Millán J,Torres-López M,Benjumea-Serna M

    更新日期:2010-12-01 00:00:00

  • Compatibility of drugs administered as Y-site infusion in intensive care units: A systematic review.

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    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Castells Lao G,Rodríguez Reyes M,Roura Turet J,Prat Dot M,Soy Muner D,López Cabezas C

    更新日期:2020-03-01 00:00:00

  • Enteral nutrition in the hemodynamically unstable critically ill patient.

    abstract::The benefit of enteral nutrition in critically ill patients has been demonstrated by several studies, especially when it is started early, in the first 24-48h of stay in the Intensive Care Unit, and this practice is currently advised by the main clinical guidelines. The start of enteral nutrition is controversial in p...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Flordelís Lasierra JL,Pérez-Vela JL,Montejo González JC

    更新日期:2015-01-01 00:00:00