Non-initiation and discontinuation of resuscitation

Clinics in Perinatology
Steven Byrne, Jay P Goldsmith

Abstract

Whereas certain aspects of neonatal resuscitation may benefit from evidence evaluation using standard evaluation techniques, the ethical aspects of non-initiation and discontinuation of resuscitative efforts are more subjective and might certainly be influenced by the biases of the reviewers. The outcome data are relatively straightforward, although survival and morbidity data differ significantly by region and even among hospitals classified at similar levels in the same region. However, the interpretation of that data is necessarily somewhat subjective. Whereas certain aspects of neonatal resuscitation may benefit from evidence evaluation using standard evaluation techniques, the ethical aspects of non-initiation and discontinuation of resuscitative efforts are more subjective and might certainly be influenced by the biases of the reviewers. The outcome data are relatively straightforward, although survival and morbidity data differ significantly by region and even among hospitals classified at similar levels in the same region. However, the interpretation of that data is necessarily somewhat subjective. Does a survival rate of 1% of patients at a certain weight or gestational age warrant full resuscitative efforts? What abou...Continue Reading

References

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Citations

Jun 23, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·P Bétrémieux
Jun 18, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·M Escobedo
Jul 31, 2010·Acta Paediatrica·O Genzel-BoroviczényA Martinez

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