CHEST Guidelines-Partial-Code-in-Cardiac-Arrest

Partial-Code-in-Cardiac-Arrest_chest

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The letter to the editor discusses the implications of applying new diagnostic criteria to precapillary pulmonary hypertension (PH) and the potential impacts on treatment strategies. Sugimoto and colleagues reference interest from Zheng et al. regarding potential shifts in treatment for patients under these revised definitions. The authors appreciate this input and acknowledge that although the new classification of PH may change some treatment strategies, the 6th World Symposium on PH emphasizes that clinical practices for targeted PH treatments should remain unchanged. The revised diagnosis hopes to better identify patients with early stages of pulmonary vascular disease, thereby facilitating more targeted and effective monitoring and clinical trials, especially in at-risk groups, such as those with systemic sclerosis. <br /><br />Separately, in an ethical discussion, Cheung et al. respond to Gremmels and Bagchi's analysis of "partial codes" in cardiac arrest scenarios. They propose that under certain circumstances, a partial code can be ethically justified to respect patient autonomy, outlining a hypothetical situation where a patient may benefit from limited resuscitation strategies without full intubation. Gremmels and Bagchi respond by highlighting potential issues with this approach, noting the complexity and potential for miscommunication during emergencies and suggesting that a full code with post-resuscitation planning would be more effective. They argue for respecting patient dignity and autonomy while navigating medical decision-making.

Keywords

pulmonary hypertension

diagnostic criteria

treatment strategies

6th World Symposium

pulmonary vascular disease

systemic sclerosis

partial codes

patient autonomy

cardiac arrest

ethical discussion