Foreword -- Preface -- Part I. Principles of clinical ethics in intensive care medicine -- Clinical ethics and ethical principles -- The two pillars of intensive care medicine (I): Indication -- The two pillars of intensive care medicine (II): The Patient's Wishes and Consent -- Part II. Decision-making -- Inter-professional shared decision-making -- Shared decision-making with patients and families -- Cultural diversity -- Part III -- Goal of therapy and extent of treatment -- Life-sustaining therapies: indication, prognostication, and the patient's wishes -- Limiting life-sustaining therapies -- Focus topic: resuscitation in the ICU -- Palliative care in the intensive care unit -- Part IV - Appropriateness of care Ethical climate and proportionate care -- Clinical ethics and the law -- Distributive Justice: Ethics during health care crises -- Part V - Ethics in the ICU: The way ahead -- Making choices in uncertainty. Educating clinicians in clinical ethics.