Treatment decisions for newborns at the threshold of viability: an ethical dilemma.
J Perinatol
; 20(6): 379-83, 2000 Sep.
Article
en En
| MEDLINE
| ID: mdl-11002878
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.
Palabras clave
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Resucitación
/
Enfermedad Crítica
/
Recién Nacido de muy Bajo Peso
/
Toma de Decisiones
/
Ética Médica
Aspecto:
Ethics
Límite:
Humans
/
Newborn
Idioma:
En
Revista:
J Perinatol
Asunto de la revista:
PERINATOLOGIA
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos