COVID-19パンデミック時における人工呼吸器治療の差し控え・中止議論について、2020年9月13日、第32回生命・医療倫理研究会で発表しました(Part 1: ACPからの続き)。これまでの報道や論文などから、諸外国ではどのような議論があったのか、どのような倫理的課題が提示されたのか、現時点での情報をまとめた資料を公開いたします。
web掲載用-2 生命・医療倫理研究会資料 13SEP2020
資料作成に使用した引用文献は次の通りです。
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- 川口浩一, 吉中信人. イタリアにおける集中治療トリアージについて. 法律時報. 2020; 92(7): 56-61.
- The Telegraph. Italians over 80 ‘will be left to die’ as country overwhelmed by coronavirus. 14 March 2020.
- Europe Reloaded. Coronavirus: Elderly Europeans Targeted, Denied Treatment. 16 April 2020. https://www.europereloaded.com/coronavirus-elderly-europeans-targeted-denied-treatment/
- Rosenbaum L. Facing Covid-19 in Italy – Ethics, Logistics, and Therapeutics on the Epidemic’s Front Line. N Engl J Med. 2020 Mar 18. doi: 10.1056/NEJMp2005492. [Epub ahead of print]
- Libertad Digital. Medicina de guerra en Cataluña: la Generalidad aconseja morir en casa. 1 APR 2020. https://www.libertaddigital.com/espana/2020-04-01/coronavirus-medicina-de-guerra-en-cataluna-la-generalidad-aconseja-morir-en-casa-1276655114/
- JACOBIN. How Spain Shamed Itself by Leaving the Elderly to Die Under Coronavirus. 6 JUNE 2020. https://jacobinmag.com/2020/06/spain-covid-deaths-nursing-homes-madrid
- The WIRE. Coronavirus: How Spain Left Its Elderly to Die. 28 JUNE 2020. https://thewire.in/world/coronavirus-how-spain-left-its-elderly-to-die
- New York State Task Force on Life and the Law, New York State Department of Health. VENTILATOR ALLOCATION GUIDELINES. November 2015. https://www.health.ny.gov/regulations/task_force/reports_publications/docs/ventilator_guidelines.pdf
- Politico. Northwell memo calls for rationing ventilators to ‘patients most likely to benefit’. 3 APR 2020. https://www.politico.com/states/new-york/albany/story/2020/04/03/northwell-memo-calls-for-rationing-ventilators-to-patients-most-likely-to-benefit-1271711
- BMA. COVID-19: ethical issues. https://www.bma.org.uk/advice-and-support/covid-19/ethics/covid-19-ethical-issues
- 日本医師会総合政策研究機構. COVID-19 の倫理的諸問題 ガイダンス⽂書の⽇本語版（仮訳）. May 2020. https://www.jmari.med.or.jp/download/finalfile_bma_ethical_guidance.pdf
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- Verweij M, van de Vathorst S, Schermer M, Willems D, de Vries M, Ethical Advice for an Intensive Care Triage Protocol in the COVID-19 Pandemic: Lessons Learned from The Netherlands. Public Health Ethics. 3 September 2020. phaa027. https://doi.org/10.1093/phe/phaa027
- Reuters. Dutch end-of-life debate flares as coronavirus tests healthcare limits. 3 APRIL 2020. https://www.reuters.com/article/us-health-coronavirus-netherlands-elderl-idUSKBN21K2B6
- James E. Hurford LLB (Hons), LLM, MA, Solicitor (2020): The BMA COVID-19 ethical guidance: a legal analysis, The New Bioethics, DOI: 10.1080/20502877.2020.1762027
- 一家綱邦, 船橋亜希子. COVID-19 パンデミック下の人工呼吸器トリアージ問題にどう取り組むべきか. 病院. 2020; 79(8): 610-616.
- Liddell K, Skopek JM, Palmer S, et al. Who gets the ventilator? Important legal rights in a pandemic. J Med Ethics. Epub ahead of print. doi:10.1136/medethics-2020-106332
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