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clinical investigations in critical care: Jean-Baptiste Stern, Hervé Mal, Odile Groussard, Olivier Brugière, Armelle Marceau, Gilles Jebrak, and Michel Fournier Prognosis of Patients With Advanced Idiopathic Pulmonary Fibrosis Requiring Mechanical Ventilation for Acute Respiratory Failure Chest 2001; 120: 213-219 [Abstract] [Full text] [PDF]

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The ethical issues in US

Juan M Ortiz   (16 July 2001)

The ethical issues in US 16 July 2001
Juan M Ortiz, Fellow Beth Israel Medical Center Send letter to journal: Re: The ethical issues in US amelucia{at}yahoo.com Juan M Ortiz	In France, as well as in other countries including Latin America, the excellent objectiveness of your rationale for the approach of end-stage Pulmonary Fibrosis in ARF that require MV. But in the US, where I practice, many religious, cultural, political and economical issues have impact in our medical decisions. And unfortunately the aggresive approach, most of the time not indicated from the ethical and medical point of view, will still obligate physicians to intubate and mechanically ventilate this group of patients, even if they are NOT candidates for transplanatation. Thank you for your excellent study