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Withdrawing and Withholding Life-Sustaining Medical Therapies in the Neonatal Intensive Care Unit: Case-Based Approaches to Clinical Controversies. Clin Perinatol 2022 03;49(1):127-135

Date

02/26/2022

Pubmed ID

35209995

DOI

10.1016/j.clp.2021.11.006

Scopus ID

2-s2.0-85123359703

Abstract

In cases whereby the continuation of life-sustaining medical therapies is not in the infant's best interest and does not align with the parents' goals, it is ethically and morally advisable to withhold/withdraw life-sustaining medical therapies. Withdrawing/withholding artificial nutrition hydration is not morally or ethically different from other medical treatments. Determination of what and when to withdraw should occur through shared decision-making considering the parents' values and the infant's physiology and comfort. The practice of physician recommendations followed by parental informed nondissent should be considered in these instances.

Author List

Rholl EL, Baughman KR, Leuthner SR

Authors

Steven R. Leuthner MD Professor in the Pediatrics department at Medical College of Wisconsin
Erin Rholl MD Assistant Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Decision Making
Humans
Infant
Infant, Newborn
Intensive Care Units, Neonatal
Parents
Withholding Treatment