ReviewIntensive care medicine2018
Ethical challenges in resuscitation.
Review in Intensive care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06245525 (Palliative Care and Legal Aspects of Treatment Limitation Decisions in ICU), which is not on this map. Cited by 38 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Palliative Care and Legal Aspects of Treatment Limitation Decisions in ICU: A Survey of Clinicians' Perceptions
Who cites it
38 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Part 3: Ethics: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.Circulation · 2025Guideline
- Pooled it
- Non-medical factors in prehospital resuscitation decision-making: a mixed-methods systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Pooled it
- Pre-arrest and intra-arrest prognostic factors associated with survival after in-hospital cardiac arrest: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2019Pooled it
- Treatment goal limitations in acute hospital care : A retrospective empirical ethics study of documentation and recorded reasoning.Wiener klinische Wochenschrift · 2026Article
- Reimagining resuscitation ethics: a narrative review and emergent ethical pathways model.Resuscitation plus · 2026Review
- Resuscitation needs justice: an intersectional view on justice, equity, diversity, and inclusion.Resuscitation plus · 2026Article
- Resuscitation in Oncology: Limits, Ethics, Practice, and Humanity.Current oncology (Toronto, Ont.) · 2026Review
- A 24-Year-Old Male Adult With a Severe Intellectual Developmental Disorder and Intractable Challenging Behaviors: A Case Report.Case reports in psychiatry · 2026Article
- Article
- Observational
- Informing relatives of non-surviving patients about research participation following out-of-hospital cardiac arrest: a prospective cohort study.Resuscitation plus · 2025Article
- Serum lactate to albumin ratio at hospital arrival and neurological outcome of out-of-hospital cardiac arrest: a nationwide multicenter observational study.Clinical and experimental emergency medicine · 2025Article
- Medical students' experience of culturally diverse family presence during resuscitation simulation.Korean journal of medical education · 2025Article
- Simulation intervention related to family presence during resuscitation for physicians and medical students: a scoping review.Clinical and experimental emergency medicine · 2025Article
- Advance Care Planning Initiatives in Critical Care Centers in Japan: A Case Report.Clinical case reports · 2025Article
- Challenges faced by doctors and nurses in the emergency department: An integrated review.Journal of education and health promotion · 2025Review
- Effects of communication, trust, and respect on shared decision-making: insights from healthcare providers in Chinese public hospitals.Frontiers in medicine · 2025Article
- Knowledge and attitudes of physicians in Chile toward Do-Not-Attempt-Resuscitation orders: A cross-sectional nation-wide study.SAGE open medicine · 2024Article
- General Critical Care, Temperature Control, and End-of-Life Decision Making in Patients Resuscitated from Cardiac Arrest.Journal of clinical medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA rapidly evolving resuscitation science provides more effective treatments to an aging population with multiple comorbidites. Concurrently, emergency care has become patient-centered. This review aims to describe challenges associated with the application of key principles of bioethics in resuscitation and post-resuscitation care; propose actions to address these challenges; and highlight the need for evidence-based ethics and consensus on ethical principles interpretation.
methodsFollowing agreement on the article's outline, subgroups of 2-3 authors provided narrative reviews of ethical issues concerning autonomy and honesty, beneficence/nonmaleficence and dignity, justice, specific practices/circumstances such as family presence during resuscitation, and emergency research. Proposals for addressing ethical challenges were also offered.
resultsRespect for patient autonomy can be realized through honest provision of information, shared decision-making, and advance directives/care planning. Essential prerequisites comprise public and specific healthcare professionals' education, appropriate regulatory provisions, and allocation of adequate resources. Regarding beneficence/nonmaleficence, resuscitation should benefit patients, while avoiding harm from futile interventions; pertinent practice should be based on neurological prognostication and patient/family-reported outcomes. Regarding dignity, aggressive life-sustaining treatments against patients preferences should be avoided. Contrary to the principle of justice, resuscitation quality may be affected by race/income status, age, ethnicity, comorbidity, and location (urban versus rural or country-specific/region-specific). Current evidence supports family presence during resuscitation. Regarding emergency research, autonomy should be respected without hindering scientific progress; furthermore, transparency of research conduct should be promoted and funding increased.
conclusionsMajor ethical challenges in resuscitation science need to be addressed through complex/resource-demanding interventions. Such actions require support by ongoing/future research.
Indexed as
Identifiers
29748717What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.