Should Neonatologists Give Opinions Withdrawing Life-sustaining Treatment?

Abstract:

:An infant has a massive intracranial hemorrhage. She is neurologically devastated and ventilator-dependent. The prognosis for pulmonary or neurologic recovery is bleak. The physicians and parents face a choice: withdraw the ventilator and allow her to die or perform a tracheotomy? The parents cling to hope for recovery. The physician must decide how blunt to be in communicating his own opinions and recommendations. Should the physician try to give just the facts? Or should he also make a recommendation based on his own values? In this article, experts in neonatology, decision-making, and bioethics discuss this situation and the choice that the physician faces.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Blumenthal-Barby JS,Loftis L,Cummings CL,Meadow W,Lemmon M,Ubel PA,McCullough L,Rao E,Lantos JD

doi

10.1542/peds.2016-2585

subject

Has Abstract

pub_date

2016-12-01 00:00:00

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2016-2585

journal_volume

138

pub_type

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