Bioethics at the bedside: considering the adolescent voice in withdrawal of life-sustaining therapy.

IF 0.9 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiology in the Young Pub Date : 2024-10-14 DOI:10.1017/S1047951124026064
Aine Lynch, Andrew Helmers, Aamir Jeewa, Christoph Haller, Roxanne Kirsch
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Abstract

Durable mechanical circulatory devices are commonly used to support children and adolescents in end-stage heart failure. However, these patients remain at high risk of acute medical complications, which may lead to significant impairment in functional capacity, altered quality of life, or death. We explore the incorporation of adolescent directives into medical decision-making in this scenario through a clinical case vignette.

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床边的生命伦理学:考虑青少年在放弃维持生命疗法中的声音。
耐用机械循环装置通常用于支持终末期心力衰竭的儿童和青少年。然而,这些患者仍然面临着急性医疗并发症的高风险,这可能会导致功能严重受损、生活质量改变或死亡。我们通过一个临床案例来探讨在这种情况下如何将青少年的指令纳入医疗决策。
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来源期刊
Cardiology in the Young
Cardiology in the Young 医学-小儿科
CiteScore
1.70
自引率
10.00%
发文量
715
审稿时长
4-8 weeks
期刊介绍: Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.
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