Ethical Issues in the Pediatric Intensive Care Unit

doi:10.1016/S0031-3955(16)38879-4

Pediatric Clinics of North America

Volume 41, Issue 6, December 1994, Pages 1405-1421

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Advanced technology and better scientific understanding of mechanisms of disease now permit intensive care personnel to extend life beyond what some patients and families consider reasonable, leading, in part, to the “patients’ rights” movement and the articulation of legal and moral guidelines for forgoing life support. In the case of pediatrics, commentaries on a few of the topics that have arisen most frequently or have provided the greatest challenge in the authors' experience are provided.

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: Address reprint requests to: Joel Frader, MD, Children’s Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213–2583

View full text

Ethical Issues in the Pediatric Intensive Care Unit

Crit Care Clin

J Pediatr

Pediatr Neurol

Am J Med

Crit Care Clin

Lancet

Ethical and moral guidelines for the initiation, continuation, and withdrawal of intensive care

Chest

Deciding Who Lives: Fateful Choices in the Intensive-Care Nursery

Judicial involvement in treatment decisions: The emerging consensus

Grief response of parents to neonatal death and parent participation in deciding care

Pediatrics

Medical Choices

Spence

Ethical problems of intensive care

Anesthesiology

Guidelines on forgoing life-sustaining medical treatment

Pediatrics

Helga Wanglie’s ventilator

Hastings Cent Rep

Uncertainty in medical prognosis, clinical and functional

American Journal of Sociology

Moral and ethical dilemmas in the special care nursery

N Engl J Med

A History and Theory of Informed Consent

Brain death in the pediatric patient: Historical, sociologic, medical, religious, cultural, legal, and ethical considerations

Crit Care Med

Outcomes of children in a persistent vegetative state

Crit Care Med

The evolution of medical uncertainty

Milbank Memorial Fund Quarterly

“An ignoble form of cannibalism”: reflections on the Pittsburgh protocol for procuring organs from non-heart-beating cadavers

Kennedy Institute of Ethics Journal

Non-heart-beating organ donation: Personal and institutional conflicts of interest

Kennedy institute of Ethics Journal

Ethics in pediatric intensive care

Special Care: Medical Decisions at the Beginning of Life

Ethical considerations

Mixed Blessings: Intensive Care for Newborns