推 hahawow: 我只是自己空想,沒花時間去找同樣想法的論文 XD 11/24 08:58
http://jme.bmj.com/content/29/3/176.full.pdf+htm
The impact of agents given solely to optimally preserve
organ function also generates concern in this regard. It can be
argued that use of heparin as an anticoagulant is of little systemic
consequence, but the capacity to aggravate bleeding
carries the accompanying capacity to cause a deterioration in
cardiovascular performance. The use of phentolamine, a
vasodilator, is certainly open to questioning since the inevitable
fall in blood pressure clearly has the potential to expedite
death, particularly in the established critically ill.74 Such
recommendations that are available75 allow interpretation of
the word “harm” and do not advise absolutely against these
agents in stating: “medications that do not harm the patient
and are required to improve the chances of successful
donation are acceptable”.l
http://link.springer.com/article/10.1007/BF03018376
The principle of ‘double-effect’ during end-of-life
care permits the use of medications, such as morphine,
for the specific purpose of relieving pain even though
a secondary effect such as respiratory depression may
occur which hastens death. Because the primary purpose
is the relief of pain to the benefit of the patient,
the secondary untoward effect is considered a necessary
consequence of the laudable primary purpose.53
NHBD protocols commonly use heparin to prevent
intravascular clotting in the organs to be recovered,
and phentolamine, to maintain vascular perfusion.
Neither of these medications can be considered to be
used for a primary purpose of benefiting the patient,
and either medication may have a negative secondary
effect of hastening death. As such, this would seem to
be a clear violation of an ethical responsibility to the
still alive patient
其實是真的有爭議的，只能說醫學倫理的問題本來就沒有誰對誰錯，撇開政治問題不談
，今天可惡的是有心人士為了權力鬥爭拿來冠上聳動的標題，不可否認，撇開政治問題
不談，回到理性面，這個問題若是單純在醫學倫理法律課上是有很大的討論思辯空間。
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※ 編輯: david790419 (140.112.125.69), 11/24/2014 03:36:58