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Abuse of Futility
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Although we applaud Curtis et al1
for bringing data along with opinions to the futility debate, we are concerned
about the way they have misrepresented our position on medical futility. The
authors present a scenario in which a patient with acquired immunodeficiency
syndrome (AIDS) with a prognosis of less than 3 months to live is admitted
to the hospital with severe pneumonia. The patient is having difficulty breathing
without the ventilator, but the physician considers withholding mechanical
ventilation because the patient would be "very unlikely to get off the life
support machine alive."1 The authors consider
this an example of medical futility.
By citing us, the authors apparently believe we would agree. But, in
fact, this is the very kind of abuse of medical futility we oppose.2, 3, 4 As McGee et
al5 point out in their editorial, the prognosis
is simply too uncertain at this point. A patient might very reasonably . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Identifying Potentially Ineffective Care in the Sickest Critically Ill Patients on the Third ICU Day
Afessa et al.
Chest 2004;126:1905-1909.
ABSTRACT
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