极端早产环境下的临终关怀——实践挑战与伦理争议

IF 2.9 3区医学 Q1 PEDIATRICS Seminars in Fetal & Neonatal Medicine Pub Date : 2023-08-01 DOI:10.1016/j.siny.2023.101442

Dominic JC. Wilkinson , Sophie Bertaud

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引用次数: 0

摘要

虽然基本原则是相同的，但与其他新生儿和年龄较大的儿童相比，在极端早产儿的临终决策和护理实践中存在差异。在这篇论文中，我们回顾了在产房和新生儿重症监护室对极早产儿的临终关怀。我们确定了这一人群临终关怀差异的潜在理由，以及实际和道德挑战。

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End of life care in the setting of extreme prematurity – practical challenges and ethical controversies

While the underlying principles are the same, there are differences in practice in end of life decisions and care for extremely preterm infants compared with other newborns and older children. In this paper, we review end of life care for extremely preterm infants in the delivery room and in the neonatal intensive care unit. We identify potential justifications for differences in the end of life care in this population as well as practical and ethical challenges.

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来源期刊

Seminars in Fetal & Neonatal Medicine 医学-小儿科

CiteScore

6.40

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Seminars in Fetal & Neonatal Medicine (formerly Seminars in Neonatology) is a bi-monthly journal which publishes topic-based issues, including current ''Hot Topics'' on the latest advances in fetal and neonatal medicine. The Journal is of interest to obstetricians and maternal-fetal medicine specialists. The Journal commissions review-based content covering current clinical opinion on the care and treatment of the pregnant patient and the neonate and draws on the necessary specialist knowledge, including that of the pediatric pulmonologist, the pediatric infectious disease specialist, the surgeon, as well as the general pediatrician and obstetrician. Each topic-based issue is edited by an authority in their field and contains 8-10 articles. Seminars in Fetal & Neonatal Medicine provides: • Coverage of major developments in neonatal care; • Value to practising neonatologists, consultant and trainee pediatricians, obstetricians, midwives and fetal medicine specialists wishing to extend their knowledge in this field; • Up-to-date information in an attractive and relevant format.

期刊最新文献

Advocating for neonatology presence at births between 20 and 25 weeks of gestation. High-frequency jet ventilation in ELBW infants: A review and update. Assessment of Global Burden due to neonatal encephalopathy: An economic evaluation. Late preterm and early term birth: Challenges and dilemmas in clinical practice. Neonatal delirium.