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Bio\u00e9t."],"abstract":"<jats:p>Resumen El incremento del n\u00famero de enfermos graves durante la pandemia de la COVID-19 plante\u00f3 la necesidad de considerar los aspectos que deben guiar el acceso a los respiradores mec\u00e1nicos. Para ello, se determinaron criterios de priorizaci\u00f3n para las unidades de cuidados intensivos y se evaluaron las bases bio\u00e9ticas que componen la creaci\u00f3n de modelos de triaje. Ante dudas y angustias provocadas por la pandemia, la bio\u00e9tica jug\u00f3 un papel de br\u00fajula orientadora de las acciones de los m\u00e9dicos y de las pol\u00edticas p\u00fablicas para lograr el bien social. As\u00ed, se entiende que la bio\u00e9tica debe ser un instrumento concreto para resolver problemas complejos que involucran la vida en todas sus dimensiones.<\/jats:p>","DOI":"10.1590\/1983-803420233621es","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T10:13:54Z","timestamp":1712312034000},"source":"Crossref","is-referenced-by-count":0,"title":["Las decisiones dif\u00edciles en tiempos complejos deben tomarse con prudencia"],"prefix":"10.1590","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1130-1098","authenticated-orcid":false,"given":"Mirella Rebello","family":"Bezerra","sequence":"first","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira,  Brasil; Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6714-1970","authenticated-orcid":false,"given":"Laiane Moraes","family":"Dias","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio Jo\u00e3o de Barros Barreto,  Brasil; Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2671-3570","authenticated-orcid":false,"given":"Jurema Telles de Oliveira","family":"Lima","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4645-8343","authenticated-orcid":false,"given":"Maria J\u00falia Gon\u00e7alves de","family":"Mello","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1377-9899","authenticated-orcid":false,"given":"Rui","family":"Nunes","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"issue":"18","key":"ref1","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1001\/jama.2020.5046","article-title":"A framework for rationing ventilators and critical care beds during the COVID-19 pandemic","volume":"323","author":"White DB","year":"2020","journal-title":"JAMA"},{"issue":"2","key":"ref2","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1002\/hast.1090","article-title":"Responding to COVID-19: how to navigate a public health emergency legally and ethically","volume":"50","author":"Gostin LO","year":"2020","journal-title":"Hastings Center Report"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"132","DOI":"10.7326\/0003-4819-150-2-200901200-00011","article-title":"Who should receive life support during a public health emergency? 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