Abstract:
:Advances in pharmacology and technology have sharply reduced mortality of extremely preterm infants at the expense of an increasing number of survivors with handicaps and disabilities. The EURONIC study among neonatal intensive care units across Europe demonstrates that treatment of infants born at the limits of viability raises challenging ethical, moral, legal, and emotional dilemmas among neonatologists, nurses, and parents alike. When is it wise to withhold or withdraw intensive care and, if so, what are the needs of the nonviable or dying infant, family, and neonatal staff to provide a humane and compassionate death? This process begins with a thorough determination of diagnosis and prognosis, followed by decision making on the basis of futility of treatment or quality-of-life issues, and counseling of parents. Withholding or withdrawing of intensive care should be synonymous with palliative care. Perinatal audit and after-care of the family complete the process. The Dutch viewpoint and practice guidelines on withholding and withdrawing of neonatal intensive care are presented.
journal_name
Early Hum Devjournal_title
Early human developmentauthors
Walther FJdoi
10.1016/j.earlhumdev.2005.10.004keywords:
subject
Has Abstractpub_date
2005-12-01 00:00:00pages
965-72issue
12eissn
0378-3782issn
1872-6232pii
S0378-3782(05)00194-5journal_volume
81pub_type
杂志文章abstract::Pulse oximetry screening is a highly specific, moderately sensitive test for detecting critical congenital heart defects (CCHDs) that meets the criteria for universal screening. The possibility of using pulse oximetry as a screening test was first investigated over 10 years ago and since then data from more than 370,0...
journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/S0378-3782(14)50006-0
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To assess the applicability of Drotar model when the diagnosis of congenital malformation is made antenatally. METHODS:In a 3-year period (2000-2003) fifty mothers, counselled for fetal malformations amenable to surgical correction at birth, were interviewed. Statistical associations were sought between each...
journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2005.12.010
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2011.01.005
更新日期:2011-03-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2020.105284
更新日期:2021-01-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2008.03.001
更新日期:2008-09-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2006.10.005
更新日期:2007-07-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2016.03.010
更新日期:2016-09-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(94)01598-J
更新日期:1995-01-30 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(91)90115-j
更新日期:1991-06-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(92)90064-n
更新日期:1992-06-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2011.07.014
更新日期:2012-02-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2012.09.012
更新日期:2012-12-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2005.07.006
更新日期:2005-11-01 00:00:00
abstract::The biochemical, dermatological and neurological motor disorders of biotinidase deficiency (multiple carboxylase deficiency) show a dramatic response to pharmacological doses of biotin. This condition is characterised by the accumulation of biocytin and depletion of biotin. Neuromuscular function returns to normal wit...
journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(85)90086-6
更新日期:1985-09-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2005.03.006
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Physical and emotional parent-infant closeness activate important neurobiological mechanisms involved in parenting. In a neonatal care context, most research focuses on physical (parental presence, skin-to-skin contact) aspects; insights into emotional closeness can be masked by findings that overemphasise t...
journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2020.105155
更新日期:2020-10-01 00:00:00
abstract::Spectral analysis was performed on ventilation and instantaneous heart rate data recorded in 15 term infants during quiet sleep in the first week after delivery, and in 11 of these infants during active sleep. There was a close relation between the main peaks of the ventilation spectra and the corresponding histograms...
journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(89)90050-9
更新日期:1989-11-01 00:00:00
abstract::In the last two decades the survival of extreme preterm infants and sick newborn infants has improved significantly due to the advances in perinatal medicine. Despite this advance, for some babies, withholding or withdrawal of life sustaining treatment may be the best option in the interest of the baby. An overview of...
journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2012.01.002
更新日期:2012-02-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,多中心研究
doi:10.1016/j.earlhumdev.2011.07.001
更新日期:2012-01-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/S0378-3782(13)70005-7
更新日期:2013-06-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2016.03.009
更新日期:2016-07-01 00:00:00
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journal_title:Early human development
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.earlhumdev.2011.07.018
更新日期:2012-02-01 00:00:00
abstract::In the face of evidence of human milk contamination by organochlorine pesticides, an analysis was performed on samples of milk obtained from healthy lactating women in the provinces of Granada and Almeria in Southern Spain. The samples were obtained by the Neonate Section of the Department of Pediatrics of Granada Uni...
journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/s0378-3782(01)00221-3
更新日期:2001-11-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2014.08.022
更新日期:2014-11-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/s0378-3782(88)80051-3
更新日期:1988-05-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/0378-3782(85)90062-3
更新日期:1985-01-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章,评审
doi:10.1016/j.earlhumdev.2009.09.003
更新日期:2009-11-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2018.04.025
更新日期:2018-09-01 00:00:00
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journal_title:Early human development
pub_type: 杂志文章
doi:10.1016/j.earlhumdev.2004.07.004
更新日期:2005-03-01 00:00:00