Ethics review: Dark angels – the problem of death in intensive care
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* Corresponding author: David W Crippen Crippen@pitt.edu
1 Department of Critical Care Medicine, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15621, USA
2 Duquesne University, Health care Ethics Center, Pittsburgh, PA 15282, USA
Critical Care 2007, 11:202 doi:10.1186/cc5138
Published: 17 January 2007Abstract
Critical care medicine has expanded the envelope of debilitating disease through the application of an aggressive and invasive care plan, part of which is designed to identify and reverse organ dysfunction before it proceeds to organ failure. For a select patient population, this care plan has been remarkably successful. But because patient selection is very broad, critical care sometimes yields amalgams of life in death: the state of being unable to participate in human life, unable to die, at least in the traditional sense. This work examines the emerging paradox of somatic versus brain death and why it matters to medical science.