<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-4702</journal-id>
<journal-title><![CDATA[Revista Latinoamericana de Bioética]]></journal-title>
<abbrev-journal-title><![CDATA[rev.latinoam.bioet.]]></abbrev-journal-title>
<issn>1657-4702</issn>
<publisher>
<publisher-name><![CDATA[Universidad Militar Nueva Granada]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-47022022000200085</article-id>
<article-id pub-id-type="doi">10.18359/rlbi.5711</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¿Es proporcionado suspender la nutrición e hidratación artificial en pacientes con pronóstico incierto? Perspectiva nutricional y bioética]]></article-title>
<article-title xml:lang="en"><![CDATA[Is it proportionate to withhold artificial nutrition and hydration in patients with uncertain prognoses? Nutritional and bioethical perspective]]></article-title>
<article-title xml:lang="pt"><![CDATA[Suspender a nutrição e a hidratação artificiais em pacientes com prognóstico incerto é adequado? Perspectiva nutricional e bioética]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araya]]></surname>
<given-names><![CDATA[Adela Walter]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[Karina Ordoñez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Finis Terrae Facultad de Medicina Escuela de Nutrición]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Chihuahua  ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>22</volume>
<numero>2</numero>
<fpage>85</fpage>
<lpage>98</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-47022022000200085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-47022022000200085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-47022022000200085&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: para llevar a cabo esta investigación, se revisó la literatura sobre el caso de Terri Schiavo, paciente que se encontraba en estado vegetativo persistente y quien falleció luego de dos semanas, después de que se le suspendiera su alimentación e hidratación; se validó su diagnóstico y se indagó si fue una paciente terminal, así como también se verificó la evidencia disponible, en relación con la hidratación y nutrición artificial en este tipo de pacientes, para determinar la concordancia de estas medidas. Esta información fue analizada desde la perspectiva nutricional y bioética; en la búsqueda bibliográfica se consultaron las bases de datos Scopus, Scielo y PubMed, con los criterios de búsqueda nutrición e hidratación artificial en pacientes terminales y de pronóstico incierto. Estos hallazgos fueron analizados con el modelo de proporcionalidad terapéutica de Calipari. Por lo anterior, se determinó que la nutrición e hidratación artificial configuraban tratamientos de carácter obligatorio u optativo para Terri. Sin embargo, pese a que no existe información concluyente sobre la nutrición e hidratación artificial en pacientes terminales, ni de pronóstico incierto, se recomienda la evaluación caso a caso de parte del equipo médico, para determinar la proporcionalidad de estos procedimientos en conjunto con el paciente y su familia. Cabe resaltar que son necesarios más estudios para proporcionar mejor evidencia que permita contar con elementos objetivos para una mejor toma de decisiones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: to carry out this research, the literature was reviewed on the case of Terri Schiavo, a patient who was in a persistent vegetative state and who died after two weeks, after her nutrition and hydration were suspended; her diagnosis was validated, and it was investigated whether she was a terminal patient, as well as the available evidence, was verified, in relation to artificial hydration and nutrition in this type of patients to determine the concordance of these measures. This information was analyzed from the nutritional and bioethical perspective; in the bibliographic search, the Scopus, Scielo, and PubMed databases were consulted with the search criteria nutrition and artificial hydration in terminal patients and patients with uncertain prognosis; these findings were analyzed with Calipari's therapeutic proportionality model. Therefore, it was determined that artificial nutrition and hydration are mandatory or optional treatments for Terri. However, there is no conclusive information on artificial nutrition and hydration in terminally ill patients, nor is the prognosis uncertain, and a case-by-case evaluation by the medical team is recommended to determine the proportionality of artificial nutrition and hydration, together with the patient and family. It should be emphasized that more studies are needed to provide better evidence to provide objective elements for better decision-making.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Para realizar esta pesquisa, foi revisada a literatura sobre o caso de Terri Schiavo, paciente que se encontrava em estado vegetativo persistente e que faleceu após duas semanas depois de sua alimentação e hidratação terem sido suspensas. Foi avaliado seu diagnóstico e questionado se foi uma paciente terminal, bem como verificada a evidência disponível quanto à hidratação e à nutrição artificiais nesse tipo de pacientes para determinar a concordância dessas medidas. Essa informação foi analisada sob a perspectiva nutricional e bioética; na busca bibliográfica, foram consultadas as bases de dados Scopus, SciELO e PubMed, com os critérios de busca &#8220;nutrição e hidratação artificiais em pacientes terminais e de prognóstico incerto&#8221;. Esses achados foram analisados com o modelo de proporcionalidade terapêutica de Calipari. Assim, foi determinado que a nutrição e a hidratação artificiais configuram tratamentos de caráter obrigatório ou opcional para Terri. Contudo, não existe informação conclusiva sobre a nutrição e a hidratação artificiais em pacientes terminais, nem em pacientes com prognóstico incerto. É recomendada a avaliação por parte da equipe médica caso a caso para determinar a adequação da nutrição e da hidratação artificiais em conjunto com o paciente e sua família. Cabe ressaltar que mais estudos são necessários para proporcionar melhor evidência que permita contar com elementos objetivos para uma melhor tomada de decisões.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[estado vegetativo persistente]]></kwd>
<kwd lng="es"><![CDATA[pronóstico incierto]]></kwd>
<kwd lng="es"><![CDATA[nutrición e hidratación artificial]]></kwd>
<kwd lng="es"><![CDATA[proporcionalidad terapéutica]]></kwd>
<kwd lng="es"><![CDATA[bioética clínica]]></kwd>
<kwd lng="en"><![CDATA[persistent vegetative state]]></kwd>
<kwd lng="en"><![CDATA[uncertain prognosis]]></kwd>
<kwd lng="en"><![CDATA[artificial nutrition and hydration]]></kwd>
<kwd lng="en"><![CDATA[therapeutic proportionality]]></kwd>
<kwd lng="en"><![CDATA[clinical bioethics]]></kwd>
<kwd lng="pt"><![CDATA[estado vegetativo persistente]]></kwd>
<kwd lng="pt"><![CDATA[prognóstico incerto]]></kwd>
<kwd lng="pt"><![CDATA[nutrição e hidratação artificiais]]></kwd>
<kwd lng="pt"><![CDATA[proporcionalidade terapêutica]]></kwd>
<kwd lng="pt"><![CDATA[bioética clínica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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