The development of technology in medicine allows to achieve a life support, without taking into account the quality of it and the decision of the patient or patient. Bioethics was developed, first for research and then to protect the individual in clinical practice; In the ICU, the patient must be managed according to the criteria of the intensivist and his team in line with respect for what the patient wants or needs for his discharge or for the good to die. The health staff must explain what is happening, probabilities, diagnostic and therapeutic procedures and then make decisions in consensus with the patient, if possible and his family, who sometimes do not know the patient's wishes. Autonomy, informed consent, beneficence, quality of life must be respected. Go to the Bioethics Committee when necessary and for all the above, it is necessary for the health professional to know and manage bioethics, maintaining continuous education on the subject, in undergraduate, postgraduate and daily practice. In our countries there is ignorance of the subject and little interest in learning about it.
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