| The History of Ethical Decision Making in Neonatal Intensive Care. | |
| | |
MedLine Citation:
|
PMID: 21606057 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Neonatal ethics has focused on 2 questions: is withholding potentially live-saving treatment from neonates ethically justified? and if so, who has the authority to decide? This article details how these questions developed and provides a description of the possible answers. In the first section, we review a selection of seminal articles by noted authors in the fields of ethics, medicine, and law. The second section provides a detailed account of the development of the Baby Doe Regulations and the impact they had on neonatal ethics, with particular attention to the emergence of the Best Interest Standard as a guideline for decision making. In the last section, we review the landmark position statements by the American Academy of Pediatric (AAP), and the focus on evidence-based decision making. We conclude that forgoing life-saving treatment is ethically justified. However, this requires a rigorous evidence-based process and is limited by the Best Interest Standard. The second question is more difficult to answer, but we feel that in light of legal limitations, physicians acting as both the infant advocate and a proxy for the state, decide what falls in the range of acceptable treatment options, with the parents free to choose within that range. |
| | |
Authors:
|
Frank X Placencia; Laurence B McCullough |
Related Documents
:
|
18685297 - Defining an appropriate ethical, social and regulatory framework for clinical xenotrans... 20524827 - Neurosurgeons' perspectives on psychosurgery and neuroenhancement: a qualitative study ... 10853717 - Ethical issues in rehabilitation medicine. 18823387 - A primer of ethical issues involving opioid therapy for chronic nonmalignant pain in a ... 21859177 - Discussing smart pills versus endorsing smart pills: reply to swanson, wigal, and volko... 20390977 - Assessing the tares as an ethical model for antismoking ads. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-5-23 |
Journal Detail:
|
Title: Journal of intensive care medicine Volume: - ISSN: 1525-1489 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-5-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8610344 Medline TA: J Intensive Care Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Pediatrics, Section of Neonatology, Baylor College of Medicine, and Texas Children's Hospital, Houston, TX, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Angiosperm ovules: diversity, development, evolution.
Next Document: Clinical Outcomes of Linezolid vs Vancomycin in Methicillin-Resistant Staphylococcus aures Ventilato...