Current Controversies in Neonatal Resuscitation

Elsevier

Available online 21 May 2022, 151627

Seminars in PerinatologyAbstract

The goal of neonatal bioethics is to help clinicians navigate difficult decisions that arise every day in the care of critically ill newborns. Over the last few decades, there have been vigorous discussions of numerous ethical issues. For some, we have worked out a tentative societal agreement for appropriate responses. Others remain contentious and controversial. They evoke moral distress. In this article, we address some of these unresolved issues including the changing landscape of duration and viability threshold for newborn resuscitation, the issue of borderline of viability and the ethical controversies that arise when each center has its own policies, and some of the challenges that arise in Fetal Care Centers (FCC). Finally, we propose a generalizable model of shared decision making

The goal of neonatal bioethics is to help clinicians deal with the difficult decisions that arise daily in the care of critically ill newborns. Over the last few decades, there have been vigorous discussions of a number of such ethical issues. For some, we have worked out a tentative societal agreement about the appropriate responses. Others remain quite contentious and controversial. They evoke moral distress. In this article, we address some of these unresolved issues. First, we discuss the changing milestone of how long a resuscitation should continue before efforts to save a baby are discontinued. We then raise the issue of borderline of viability and the ethical controversies that arise when each center has its own policies about which babies should or should not receive resuscitative efforts and admission to the Neonatal Intensive Care Unit (NICU). We discuss some of the challenges that arise in Fetal Care Centers (FCC). Finally, we propose a generalizable model of shared decision making.

View full text

© 2022 Elsevier Inc. All rights reserved.

留言 (0)

沒有登入
gif