![]() ![]() The devastating pandemic that has stricken the worldwide population induced an unprecedented influx of severe ARDS patients dramatically exceeding ICU bed capacities in several areas of many countries. In their daily practice, intensivists are used to facing to ethical concerns related to admission or non-admission to ICU, to withholding or withdrawing life support and to communication with families. The formalized strategies integrating the relevant tools of ethical reflection were disseminated without deviating from usual practices, leaving to intensivists the ultimate choice of decision. With this in mind, we aimed to point out some critical ethical choices with which ICU caregivers have been confronted during the Covid-19 pandemic and to underline their limits. However, whatever the angle of approach, imbalance between utilitarian and individual ethics leads to unsolvable discomforts that caregivers will need to overcome. Proposals have been made to rationalize triage policies in conjunction with ethical justifications. ![]() ![]() These ingredients are liable to shake up our ethical principles, sharpen our ethical dilemmas, and lead to situations of major caregiver sufferings. The devastating pandemic that has stricken the worldwide population induced an unprecedented influx of patients in ICUs, raising ethical concerns not only surrounding triage and withdrawal of life support decisions, but also regarding family visits and quality of end-of-life support. ![]()
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