Treatment decisions for newborns at the threshold of viability: An ethical dilemma

被引：13

作者：

Doroshow R.W. ^{[1
,8
]}

Hodgman J.E. ^{[2
]}

Pomerance J.J. ^{[3
]}

Ross J.W. ^{[4
]}

Michel V.J. ^{[5
]}

Luckett P.M. ^{[6
]}

Shaw A. ^{[7
]}

机构：

[1] Department of Pediatrics, Harbor-University of California, Los Angeles Medical Center, Torrance, CA

[2] Department of Pediatrics, Los Angeles Co.-Univ. S. CA Med. C., Los Angeles, CA

[3] Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA

[4] Center for Healthcare Ethics, Orange, CA

[5] Univ. of S. California Law Center, Los Angeles, CA

[6] Department of Pediatrics, University of Texas, Southwestern Medical Center, Dallas, TX

[7] Department of Surgery, Olive View Medical Center, Sylmar, CA

[8] Long Beach Memorial Heart Institute, Long Beach, CA 90801

来源：

Journal of Perinatology | 2000年 / 20卷 / 6期

关键词：

D O I：

10.1038/sj.jp.7200010

中图分类号：

学科分类号：

摘要：

The major ethical issues involved in decision-making in the care of extremely low birth weight newborns are analyzed here. We propose a schema for assessment and management of these infants that is consistent with ethical principles broadly accepted by the pediatric community, and which takes into account mortality risk at any given institution rather than arbitrary weight limits, with a major decision-making role for the infant's parents. When possible, the decision of whether or not to resuscitate should be made before delivery; when not possible, delivery room resuscitation is recommended, and the decision to continue or withdraw care should be made subsequently based on likelihood of survival and the wishes of the parents.

引用

页码：379 / 383

页数：4

共 23 条

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