Attitudes of Australian neonatologists to resuscitation of extremely preterm infants

Journal of Paediatrics and Child Health
Bernice A MillsDag Helge Frøisland

Abstract

We aimed to investigate how Australian neonatologists made decisions when incompetent patients of different ages needed resuscitation. A survey including vignettes of eight incompetent patients requiring resuscitation was sent to 140 neonatologists. Patients ranged from a very preterm infant to 80 years old. While some had existing impairments, all faced risk of death or neurological sequelae. Respondents indicated whether they would resuscitate, whether they believed resuscitation was in the patients' best interests, whether they would want intervention for a family member and whether they would comply with families' wishes to withhold resuscitation. They were also asked how they would rank the eight patients in a triage situation. Seventy-eight per cent of specialists completed the survey. The majority of respondents gave priority to the resuscitation of children over adults. Less than 40% would agree to withhold resuscitation at families' request for all children except for the preterm infant, where 96% would comply with families' wishes to withhold intensive care despite 77% believing resuscitation to be in the infant's best interest. This study found inconsistencies between physicians' perceptions of the patient's best int...Continue Reading

References

Oct 27, 2004·Early Human Development·L W Doyle, UNKNOWN Victorian Infant Collaborative Study Group
Jan 11, 2005·Theoretical Medicine and Bioethics·Douglas S Diekema
Apr 9, 2005·Journal of Paediatrics and Child Health·Alma M MartinezNem-Yun Boo
Dec 2, 2006·The Medical Journal of Australia·Kei LuiDavid Henderson-Smart
May 31, 2007·Journal of Paediatrics and Child Health·Alison L KentUNKNOWN NSW and ACT Perinatal Care at the Borderlines of Viability Consensus Workshop Committee
Jul 14, 2007·The Australian & New Zealand Journal of Obstetrics & Gynaecology·John KeoghUNKNOWN Consensus Workshop Organising Committee
Nov 7, 2007·Theoretical Medicine and Bioethics·Annie JanvierJohn D Lantos
Nov 7, 2007·Theoretical Medicine and Bioethics·D Micah Hester
Mar 28, 2008·Acta Paediatrica·Annie JanvierJohn Lantos
May 3, 2008·Pediatrics·Annie JanvierKeith James Barrington
Jul 18, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·A JanvierK J Barrington
Feb 3, 2009·Lancet·Govind PersadEzekiel J Emanuel
Mar 1, 2012·The Journal of Pediatrics·Eirik M HagenThor Willy Ruud Hansen
Feb 8, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Thor W R HansenReidun Førde
Apr 30, 2013·Journal of Perinatology : Official Journal of the California Perinatal Association·Annie Janvier, Mark R Mercurio
Sep 11, 2013·JAMA Pediatrics·A A Eduard Verhagen, Annie Janvier

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Citations

Mar 24, 2018·Acta Paediatrica·Thor Willy Ruud HansenReidun Førde
Oct 14, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·N LaventhalA Janvier
Feb 15, 2017·Journal of Paediatrics and Child Health·Lynn GillamDavid Isaacs
Sep 9, 2018·Medicine, Health Care, and Philosophy·Michal Stanak
Jan 19, 2016·Journal of Paediatrics and Child Health·Alison Sally Poulton
May 16, 2017·The Journal of Pediatrics·Amélie Dupont-ThibodeauAnnie Janvier

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