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Ethical dilemmas for critically ill babies

Author: Eduard Verhagen; Annie Janvier
Publisher: Dordrecht : Springer, [2016]
Series: International library of ethics, law, and the new medicine, v. 65.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Database:WorldCat
Summary:
Most neonates who now survive intensive care would have died 50 years ago, and ℓ́ℓnatureℓ́ℓ would have decided the outcomes, making ethical discussions about initiating or withholding resuscitation irrelevant. Medical developments in neonatology have changed the way we respond to diseases of neonates, to their illness, and to their parents. Not only as physicians, but also as a society. Decisions on when to start,  Read more...
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Genre/Form: Electronic books
Additional Physical Format: (OCoLC)913767695
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Eduard Verhagen; Annie Janvier
ISBN: 9789401773607 9401773602
OCLC Number: 923250564
Description: 1 online resource.
Contents: Acknowledgments; Contents; 1 Introduction; Abstract; References; 2 How Babies Die and Why This Is Important to Clinicians, Researchers, and Parents; Abstract; 2.1 Values, Policies, and Facts About Survival; 2.2 Outcome and Unit Philosophy; 2.3 Description of Circumstances Around the End-of-Life; References; 3 When Do We Become a Person and Why Should It Matter to Pediatricians?; Abstract; 3.1 Conception; 3.2 Pain; 3.3 Viability; 3.4 Sentience and Consciousness; 3.5 Birth; 3.6 Human Relationships; 3.7 Unique Human Characteristics; References; 4 Neonates Are Devalued Compared to Older Patients Abstract4.1 Pain Treatment; 4.2 Nursery Environment; 4.3 Variations of Practice for Neonates; 4.4 Resuscitation and End of Life Decisions; 4.5 Economic Analysis of NICUs Compared to Other ICUs; 4.6 Neonatal Mortality in Poor Countries; 4.7 Why Are These Differential Considerations Tolerated for Neonates?; 4.8 Conclusion; References; 5 Who Makes It to the NICU? The Association Between Prenatal Decisions and Neonatal Outcomes; Abstract; 5.1 How Babies Die Outside of the NICU; 5.1.1 Late Terminations of Pregnancy; 5.1.2 Stillbirths; 5.1.3 Unsuccessful Resuscitations 5.1.4 Neonates Who Receive Palliative Care at Birth5.2 Telling the Values from the Facts; 5.3 Conclusion; References; 6 Termination of Pregnancy and Perinatal Palliative Care in the Case of Fetal Anomaly: Why Is There so Much Incoherence?; Abstract; 6.1 The Fetus as a Patient; 6.2 Abortion; 6.3 The Challenge of Coherence Between Pre and Postnatal Periods; 6.4 In Practice; 6.5 Different Practice --
Different Views; 6.6 Parental Outcomes; 6.7 Could Perinatal Palliative Care Be an Alternative to a Late Interruption of Pregnancy for Fetal Anomaly? 6.8 Why Is Postnatal Palliative Care so Far from Termination of Pregnancy?References; 7 Predicting Outcomes in the Very Preterm Infant; Abstract; 7.1 What Do We Want to Predict?; 7.2 Predicting Outcomes Before Birth, Lack of Prediction by Gestational Age; 7.3 Predicting Outcomes in the Delivery Room, Lack of Prediction by Condition at Birth; 7.4 Predicting Outcomes by Early Ultrasound Findings; 7.5 Predicting Outcome by Clinical Course; 7.6 Predicting Outcomes by Other Modalities of Investigation; 7.7 Predicting Outcomes Near to Discharge; 7.8 Which Test Should Be Used as a Screening Test? 7.9 Can We Predict Adverse Long Term Outcomes, Should We, and Which Ones?7.10 Predicting Quality of Life; 7.11 Conclusion; References; 8 Predicting the Future of Preterm Infants: Should We Use Quality of Life and Social Determinants Criteria?; Abstract; 8.1 Predicting Quality of Life; 8.2 Outcome and Socio-Economic Factors; References; 9 End-of-Life Decisions in Neonatology from a Children's Rights Perspective: Dutch Developments Examined; Abstract; 9.1 Introduction; 9.2 End-of-Life Decisions in Neonatolgy: A Children's Rights Issue; 9.3 Dutch Legal Framework; 9.4 Dutch Research
Series Title: International library of ethics, law, and the new medicine, v. 65.
Responsibility: Eduard Verhagen, Annie Janvier, editors.
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"This book presents 11 essays on difficult ethical questions that are common in the practice of neonatal medicine. ... The audience is practicing neonatologists and those in training. The writing is Read more...

 
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