Decisions to Implement and Withdraw Therapy in the Neurologic Intensive Care Unit

  • Michael N. Diringer
  • Rudolf W. Ch. Janzen
  • Werner Hacke

Abstract

Fulfilling the claims of dignity and humanity during the course of a disease is the challenge of ethics in medicine. In the Neurologic Intensive Care Unit (NICU) this concept is sometimes difficult to maintain. Often the acuteness and severity of the central nervous system (CNS) dysfunction may become so extreme that the patient’s family need a long time and repeated explanations before they appreciate the gravity of the situation and the dismal prognosis. In addition, despite great advances in therapeutic interventions, our ability to predict which patients will respond favorably is limited. Thus, uncertainty regarding prognosis often makes it difficult to define an appropriate care plan.

Keywords

Hydration Depression Europe Lactate Assure 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • Michael N. Diringer
  • Rudolf W. Ch. Janzen
  • Werner Hacke

There are no affiliations available

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