Abstracts from the 16th International Symposium on Computing in Anesthesia and Intensive Care, Rotterdam, The Netherlands

1996 ◽  
Vol 13 (2) ◽  
pp. 113-137
Keyword(s):  
Intensive Care ◽  
The Netherlands ◽  
International Symposium ◽  
16Th International Symposium

Ethical Decisions in Neonatal Intensive Care Units: The Dutch Experience

PEDIATRICS ◽  
1992 ◽  
Vol 90 (5) ◽  
pp. 729-732
Author(s):  
Pieter J. J. Sauer
Keyword(s):  
Quality Of Life ◽  
Intensive Care ◽  
The Netherlands ◽  
Neonatal Intensive Care ◽  
Fatal Outcome ◽  
Modern Technology ◽  
Withholding Treatment ◽  
Intensive Care Treatment ◽  
Best Interest

Modern technology makes it possible to keep more sick, extremely small, and vulnerable neonates alive. Many neonatologists in the Netherlands believe they should be concerned not only about the rate of survival of their patients, but also about the way the graduates of their care do, in fact, survive beyond the neonatal period. In most cases, we use all available methods to keep newborns alive. However, in some instances there is great concern about the quality of life, if the newborn should survive; here questions do arise about continuing or withholding treatment. In this commentary, I present my impression of the opinions held by a majority of practicing neonatologists in the Netherlands, as well as some personal thoughts and ideas. Recently, a committee convened by the Ministers of Justice and Health in the Netherlands issued an official report regarding the practice of euthanasia and the rules of medical practice when treatment is withheld.1 In this report of more than 250 pages, only 2 pages focus on the newborn. The following conclusions were made in this small section of the report. In almost one half of the instances of a fatal outcome in a neonatal intensive care unit in the Netherlands, discussions about sustaining or withholding treatment did take place at some stage of the hospital stay. A consideration of the future quality of life was always included in the discussion. The committee agreed with doctors interviewed for the report that there are circumstances in which continuation of intensive care treatment is not necessarily in the best interest of a neonate.

Care for the dying in intensive care in The Netherlands

2006 ◽  
Vol 32 (12) ◽  
pp. 2067-2069 ◽  
Author(s):  
Erwin J. O. Kompanje
Keyword(s):  
Intensive Care ◽  
The Netherlands

scholarly journals Risk factors for intensive care admission in children with severe acute asthma in the Netherlands: a prospective multicentre study

2020 ◽  
Vol 6 (3) ◽  
pp. 00126-2020 ◽  
Author(s):  
Shelley A. Boeschoten ◽  
Annemie L. Boehmer ◽  
Peter J. Merkus ◽  
Joost van Rosmalen ◽  
Johan C. de Jongste ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
The Netherlands ◽  
Multicentre Study ◽  
Tobacco Smoke ◽  
Acute Asthma ◽  
Significant Risk ◽  
General Ward ◽  
Tobacco Smoke Exposure ◽  
Severe Acute Asthma

RationaleSevere acute asthma (SAA) can be fatal, but is often preventable. We previously observed in a retrospective cohort study, a three-fold increase in SAA paediatric intensive care (PICU) admissions between 2003 and 2013 in the Netherlands, with a significant increase during those years of numbers of children without treatment of inhaled corticosteroids (ICS).ObjectivesTo determine whether steroid-naïve children are at higher risk of PICU admission among those hospitalised for SAA. Furthermore, we included the secondary risk factors tobacco smoke exposure, allergic sensitisation, previous admissions and viral infections.MethodsA prospective, nationwide multicentre study of children with SAA (2–18 years) admitted to all Dutch PICUs and four general wards between 2016 and 2018. Potential risk factors for PICU admission were assessed using logistic regression analyses.Measurements and main results110 PICU and 111 general ward patients were included. The proportion of steroid-naïve children did not differ significantly between PICU and ward patients. PICU children were significantly older and more exposed to tobacco smoke, with symptoms >1 week prior to admission. Viral susceptibility was not a significant risk factor for PICU admission.ConclusionsChildren with SAA admitted to a PICU were comparable to those admitted to a general ward with respect to ICS treatment prior to admission. Preventable risk factors for PICU admission were >7 days of symptoms without adjustment of therapy and exposure to tobacco smoke. Physicians who treat children with asthma must be aware of these risk factors.

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