The ethics of delivery-room resuscitation

被引:8
作者
Byrne, Steven [1 ]
Szyld, Edgardo [2 ]
Kattwinkel, John [3 ]
机构
[1] James Cook Univ Hosp, Neonatal Unit, Middlesbrough TS4 3BW, Cleveland, England
[2] Hosp Diego Paroissien, Buenos Aires, DF, Argentina
[3] Univ Virginia, Charlottesville, VA USA
关键词
Ethics; Extreme prematurity; Neonatal mortality; Neonatal resuscitation ethics; Resuscitation; Viability;
D O I
10.1016/j.siny.2008.04.014
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Perinatal care continues to improve and the number of extremely preterm babies delivered increases. What is the outcome for those babies? Under what circumstances should we not initiate resuscitation or under what circumstances should we discontinue support? How accurate and predictive are the data we have and how can these be improved? Who should make the decisions and how should they be made? Should we follow different guidelines in different settings? The following narrative will examine some of these questions but cannot answer them all. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:440 / 447
页数:8
相关论文
共 58 条
[11]  
DONOGHUE DA, 1999, NEONATAL NETWORK SER, V3
[12]   Why do preterm infants die in the 1990s? [J].
Doyle, LW ;
Rogerson, S ;
Chuang, SL ;
James, M ;
Bowman, ED ;
Davis, PG .
MEDICAL JOURNAL OF AUSTRALIA, 1999, 170 (11) :528-532
[13]   Tables for predicting survival for preterm births are updated [J].
Draper, ES ;
Manktelow, B ;
Field, DJ ;
James, D .
BRITISH MEDICAL JOURNAL, 2003, 327 (7419) :872-872
[14]   A systematic review of the ultrasound estimation of fetal weight [J].
Dudley, NJ .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2005, 25 (01) :80-89
[15]   Survival and neonatal morbidity at the limits of viability in the mid 1990s: 22 to 25 weeks [J].
El-Metwally, D ;
Vohr, B ;
Tucker, R .
JOURNAL OF PEDIATRICS, 2000, 137 (05) :616-622
[16]   Evidence of selection bias in preterm survival studies: a systematic review [J].
Evans, DJ ;
Levene, MI .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2001, 84 (02) :F79-F84
[17]   Cardiopulmonary resuscitation in the very low birth weight infant: The Vermont Oxford Network experience [J].
Finer, NN ;
Horbar, JD ;
Carpenter, JH .
PEDIATRICS, 1999, 104 (03) :428-434
[18]   Outcomes of children of extremely low birthweight and gestational age in the 1990's [J].
Hack, M ;
Fanaroff, AA .
EARLY HUMAN DEVELOPMENT, 1999, 53 (03) :193-218
[19]   Outcome after successful resuscitation of babies born with Apgar scores of 0 at both 1 and 5 minutes [J].
Haddad, B ;
Mercer, BM ;
Livingston, JC ;
Talati, A ;
Sibai, BM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 182 (05) :1210-1214
[20]   Proactive management promotes outcome in extremely preterm infants:: A population-based comparison of two perinatal management strategies [J].
Håkansson, S ;
Farooqi, A ;
Holmgren, PÅ ;
Serenius, F ;
Högberg, U .
PEDIATRICS, 2004, 114 (01) :58-64