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End‐of‐life decisions in delivery room and neonatal intensive care unit
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| Zeitschriftentitel: | Acta Paediatrica |
|---|---|
| Personen und Körperschaften: | , , , , |
| In: | Acta Paediatrica, 94, 2005, 11, S. 1626-1631 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
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| Schlagwörter: |
| author_facet |
ARLETTAZ, ROMAINE MIETH, DIETO BUCHER, HANS‐ULRICH DUC, GABRIEL FAUCHÈRE, JEAN‐CLAUDE ARLETTAZ, ROMAINE MIETH, DIETO BUCHER, HANS‐ULRICH DUC, GABRIEL FAUCHÈRE, JEAN‐CLAUDE |
|---|---|
| author |
ARLETTAZ, ROMAINE MIETH, DIETO BUCHER, HANS‐ULRICH DUC, GABRIEL FAUCHÈRE, JEAN‐CLAUDE |
| spellingShingle |
ARLETTAZ, ROMAINE MIETH, DIETO BUCHER, HANS‐ULRICH DUC, GABRIEL FAUCHÈRE, JEAN‐CLAUDE Acta Paediatrica End‐of‐life decisions in delivery room and neonatal intensive care unit General Medicine Pediatrics, Perinatology and Child Health |
| author_sort |
arlettaz, romaine |
| spelling |
ARLETTAZ, ROMAINE MIETH, DIETO BUCHER, HANS‐ULRICH DUC, GABRIEL FAUCHÈRE, JEAN‐CLAUDE 0803-5253 1651-2227 Wiley General Medicine Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1080/08035250510036543 <jats:title>Abstract</jats:title><jats:p><jats:italic>Background</jats:italic>: The increase in neonatal survival in recent decades has been followed by an increase in later disabilities. This has given rise to many new ethical issues. In different countries, efforts are being made to define ethical guidelines regarding withholding or withdrawing intensive care and end‐of‐life decisions in critically ill newborn infants. These guidelines have to be differentiated from ethical decision‐making models which structure the process of decision making for an individual child. Such a framework has been in existence in our clinic for 10 years. <jats:italic>Aim</jats:italic>: The aims of this study were to evaluate how end‐of‐life decisions are taken in our perinatal centre and to analyse whether these decisions are consistent with our framework for structured ethical decision making.</jats:p><jats:p><jats:italic>Methods:</jats:italic> 199 consecutive neonatal deaths over 5 y were evaluated.</jats:p><jats:p><jats:italic>Results:</jats:italic> In 157 cases (79%), end‐of‐life decisions were taken according to our ethical framework; in the remaining 42 cases (21%), the baby died before this could be done. In 92% of cases, parents were involved in the decision and, in all cases but one, agreed with the decision. A patient's life was never intentionally and actively terminated.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> In contrast to earlier years, in‐hospital death in our clinic is nowadays usually preceded by structured and documented medical end‐of‐life decisions.</jats:p> End‐of‐life decisions in delivery room and neonatal intensive care unit Acta Paediatrica |
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10.1080/08035250510036543 |
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Wiley, 2005 |
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Wiley, 2005 |
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| title |
End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_unstemmed |
End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_full |
End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_fullStr |
End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_full_unstemmed |
End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_short |
End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_sort |
end‐of‐life decisions in delivery room and neonatal intensive care unit |
| topic |
General Medicine Pediatrics, Perinatology and Child Health |
| url |
http://dx.doi.org/10.1080/08035250510036543 |
| publishDate |
2005 |
| physical |
1626-1631 |
| description |
<jats:title>Abstract</jats:title><jats:p><jats:italic>Background</jats:italic>: The increase in neonatal survival in recent decades has been followed by an increase in later disabilities. This has given rise to many new ethical issues. In different countries, efforts are being made to define ethical guidelines regarding withholding or withdrawing intensive care and end‐of‐life decisions in critically ill newborn infants. These guidelines have to be differentiated from ethical decision‐making models which structure the process of decision making for an individual child. Such a framework has been in existence in our clinic for 10 years. <jats:italic>Aim</jats:italic>: The aims of this study were to evaluate how end‐of‐life decisions are taken in our perinatal centre and to analyse whether these decisions are consistent with our framework for structured ethical decision making.</jats:p><jats:p><jats:italic>Methods:</jats:italic> 199 consecutive neonatal deaths over 5 y were evaluated.</jats:p><jats:p><jats:italic>Results:</jats:italic> In 157 cases (79%), end‐of‐life decisions were taken according to our ethical framework; in the remaining 42 cases (21%), the baby died before this could be done. In 92% of cases, parents were involved in the decision and, in all cases but one, agreed with the decision. A patient's life was never intentionally and actively terminated.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> In contrast to earlier years, in‐hospital death in our clinic is nowadays usually preceded by structured and documented medical end‐of‐life decisions.</jats:p> |
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| author | ARLETTAZ, ROMAINE, MIETH, DIETO, BUCHER, HANS‐ULRICH, DUC, GABRIEL, FAUCHÈRE, JEAN‐CLAUDE |
| author_facet | ARLETTAZ, ROMAINE, MIETH, DIETO, BUCHER, HANS‐ULRICH, DUC, GABRIEL, FAUCHÈRE, JEAN‐CLAUDE, ARLETTAZ, ROMAINE, MIETH, DIETO, BUCHER, HANS‐ULRICH, DUC, GABRIEL, FAUCHÈRE, JEAN‐CLAUDE |
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| container_title | Acta Paediatrica |
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| description | <jats:title>Abstract</jats:title><jats:p><jats:italic>Background</jats:italic>: The increase in neonatal survival in recent decades has been followed by an increase in later disabilities. This has given rise to many new ethical issues. In different countries, efforts are being made to define ethical guidelines regarding withholding or withdrawing intensive care and end‐of‐life decisions in critically ill newborn infants. These guidelines have to be differentiated from ethical decision‐making models which structure the process of decision making for an individual child. Such a framework has been in existence in our clinic for 10 years. <jats:italic>Aim</jats:italic>: The aims of this study were to evaluate how end‐of‐life decisions are taken in our perinatal centre and to analyse whether these decisions are consistent with our framework for structured ethical decision making.</jats:p><jats:p><jats:italic>Methods:</jats:italic> 199 consecutive neonatal deaths over 5 y were evaluated.</jats:p><jats:p><jats:italic>Results:</jats:italic> In 157 cases (79%), end‐of‐life decisions were taken according to our ethical framework; in the remaining 42 cases (21%), the baby died before this could be done. In 92% of cases, parents were involved in the decision and, in all cases but one, agreed with the decision. A patient's life was never intentionally and actively terminated.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> In contrast to earlier years, in‐hospital death in our clinic is nowadays usually preceded by structured and documented medical end‐of‐life decisions.</jats:p> |
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| spelling | ARLETTAZ, ROMAINE MIETH, DIETO BUCHER, HANS‐ULRICH DUC, GABRIEL FAUCHÈRE, JEAN‐CLAUDE 0803-5253 1651-2227 Wiley General Medicine Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1080/08035250510036543 <jats:title>Abstract</jats:title><jats:p><jats:italic>Background</jats:italic>: The increase in neonatal survival in recent decades has been followed by an increase in later disabilities. This has given rise to many new ethical issues. In different countries, efforts are being made to define ethical guidelines regarding withholding or withdrawing intensive care and end‐of‐life decisions in critically ill newborn infants. These guidelines have to be differentiated from ethical decision‐making models which structure the process of decision making for an individual child. Such a framework has been in existence in our clinic for 10 years. <jats:italic>Aim</jats:italic>: The aims of this study were to evaluate how end‐of‐life decisions are taken in our perinatal centre and to analyse whether these decisions are consistent with our framework for structured ethical decision making.</jats:p><jats:p><jats:italic>Methods:</jats:italic> 199 consecutive neonatal deaths over 5 y were evaluated.</jats:p><jats:p><jats:italic>Results:</jats:italic> In 157 cases (79%), end‐of‐life decisions were taken according to our ethical framework; in the remaining 42 cases (21%), the baby died before this could be done. In 92% of cases, parents were involved in the decision and, in all cases but one, agreed with the decision. A patient's life was never intentionally and actively terminated.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> In contrast to earlier years, in‐hospital death in our clinic is nowadays usually preceded by structured and documented medical end‐of‐life decisions.</jats:p> End‐of‐life decisions in delivery room and neonatal intensive care unit Acta Paediatrica |
| spellingShingle | ARLETTAZ, ROMAINE, MIETH, DIETO, BUCHER, HANS‐ULRICH, DUC, GABRIEL, FAUCHÈRE, JEAN‐CLAUDE, Acta Paediatrica, End‐of‐life decisions in delivery room and neonatal intensive care unit, General Medicine, Pediatrics, Perinatology and Child Health |
| title | End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_full | End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_fullStr | End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_full_unstemmed | End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_short | End‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_sort | end‐of‐life decisions in delivery room and neonatal intensive care unit |
| title_unstemmed | End‐of‐life decisions in delivery room and neonatal intensive care unit |
| topic | General Medicine, Pediatrics, Perinatology and Child Health |
| url | http://dx.doi.org/10.1080/08035250510036543 |