Document Detail


Physician counseling, informed consent and parental decision making for infants with hypoplastic left-heart syndrome.
MedLine Citation:
PMID:  22678145     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Until the development in 1980 by William Norwood of a staged palliative surgical procedure for hypoplastic left heart syndrome (HPLHS), there was no treatment for that condition. With medical developments in the 1980s, parents had the option of the Norwood procedure, transplantation or comfort care for a child born with HPLHS. With an improvement in the survival rate for the Norwood procedure from an initial 30% to now better than 80%, some physicians believe that comfort care should no longer be an option. If, however, medically sophisticated parents, who know the neurological and motor skills impairments that accompany HPLHS, object to the surgery, they are allowed to opt for comfort care. This two-pronged approach to medical treatment seems to violate the norms on equity and fairness in the care of the patient. Parents need to be informed about long-term neurological and motor skill development as well as survival rates to give informed consent.Journal of Perinatology advance online publication, 7 June 2012; doi:10.1038/jp.2012.72.
Authors:
J J Paris; M P Moore; M D Schreiber
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-07
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  -     ISSN:  1476-5543     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1] S.J. Walsh Professor of Bioethics, Boston College, Chestnut Hill, MA, USA [2] Visiting Professor, Center for Clinical Ethics, Stanford University School of Medicine, Stanford, CA, USA.
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