4.1 Ethical Dilemmas in Pediatric Nutrition Practice

Pediatric Nutrition in Practice Editor(s): Koletzko, Berthold (Munich)
Bhutta, Zulfiqar A. (Toronto, ON)
Cai, Wei (Shanghai)
Dhansay, Muhammad Ali (Cape Town)
Duggan, Christopher P. (Boston, MA)
Makrides, Maria (North Adelaide, NSW)
Orsi, Marina (Buenos Aires)

4 Perioperative Nutritional Support

Lentze M.J.

Author affiliations

Department of Pediatrics, School of Medicine and University Hospital Bonn, University of Bonn, Bonn, Germany

Koletzko B, Bhutta ZA, Cai W, Dhansay MA, Duggan CP, Makrides M, Orsi M (eds): Pediatric Nutrition in Practice. World Rev Nutr Diet. Basel, Karger, 2022, vol 124, pp 410–414

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Article / Publication Details

Received: March 03, 2021
Accepted: March 06, 2021
Published online: March 03, 2022
Cover Date: 2021

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0

ISBN: 978-3-318-06295-3 (Print)
eISBN: 978-3-318-06296-0 (Online)


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Abstract of 4 Perioperative Nutritional Support References American Academy of Pediatrics. Guidelines on forgoing life-sustaining medical treatment. Pediatrics. 1994;93:532–6. Carter BS, Leuthner SR. The ethics of withholding/withdrawing nutrition in the newborn. Semin Perinatol. 2003;27(6):480–7. Tsai E; Canadian Paediatric Society, Bioethics Committee. Withholding and withdrawing artificial nutrition and hydration. Paediatr Child Health. 2011;16:241–2 Royal College of Paediatrics and Child Health. Withholding or withdrawing life sustaining treatment in children: a framework for practice. 2nd ed. London: RCPCH; 2004. Nuffield Council on Bioethics. Critical care decisions in fetal and neonatal medicine: ethical issues. 2007. Available from: www.nuffieldbioethice.org. Larcher V, Craig F, Bhogal K, et al. Making decisions to limit treatment in life-limiting and life-threatening conditions in children: a framework of practice. Arch Dis Child. 2015;100(Suppl 2):s1–s23. Uthayay S, Mancini A, Beardsley C, et al. Managing palliation in the neonatal unit. Arch Dis Child Fetal Neonatal Ed. 2014;99:F349–52. Brouwer M, Kaczor C, Battin MP, et al. Should pediatric euthanasia be legalized? Pediatrics. 2018;141:e20171343. Verhagen E, Sauer PJ. The Groningen protocol – euthanasia in severely ill newborns. N Engl J Med. 2005;352:959–62. Willems DL, Verhagen E, van Wijlick E, et al. Infants best interest in end-of-life care for newborns. Pediatrics. 2014;134:e1163–1168. Welleslay H, Jenkins IA. Withholding and withdrawing life-sustaining treatment in children. Pediatr Anesth. 2009;19:972–978. Diekema DS, Botkin JR; Committee on Bioethics. Clinical report – forgoing medically provided nutrition and hydration in children. Pediatrics. 2009;124:813–22. Braegger CH, Decsi T, Amil Dias J, et al. Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr. 2010;51:110–22. Dipasquale V, Lecoeur K, Aumar M, et al. Factors associated with success and failure of weaning children from prolonged enteral nutrition: a retrospective cohort study. J Pediatr Gastroenterol Nutr. 2021;72:135–40. Krom H, de Winter JP, Kindermann A. Development, prevention and treatment of feeding tube dependency. Eur J Pediatr. 2017;176:683–8. Krom H, de Meij TGJ, Benninga MA, et al. Long-term efficacy of clinical hunger provocation to wean feeding tube dependency. Clin Nutr. 2020;39:2863–71. Marinschek S, Pahsini K, Scheer PJ, et al. Long-term outcomes of an interdisciplinary tube weaning program: a quantitative study. J Pediatr Gastroenterol Nutr. 2019;68:591–4. Marinschek S, Dunitz-Scheer M, Pahsini K, et al. Weaning children off enteral nutrition by netcoaching versus onsite treatment: a comparative study. J Paediatr Child Health. 2014;50:902–907. Sadeh-Kon T, Fradkin A, Dunitz-Scheer M, et al. Long term nutritional growth outcome of children completing an intensive multidisciplinary tube-weaning program. Clin Nutr. 2020;39:3153–9. Ishizaki A, Hironaka M, Tatsuno M, et al. Characteristics of weaning strategies in tube dependent chidren. Pediatr Int. 2013;55:208–13. Wright CM, Smith KH, Morrison J. Withdrawing feeds from children on long term enteral feeding: factors associated with success and failure. Arch Dis Child. 2011;96:433–439. Article / Publication Details

Received: March 03, 2021
Accepted: March 06, 2021
Published online: March 03, 2022
Cover Date: 2021

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0

ISBN: 978-3-318-06295-3 (Print)
eISBN: 978-3-318-06296-0 (Online)

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