Ethical dilemmas associated with clinicians’ decisions about treatment in critically ill infants born in Córdoba, Argentina

2017 ◽  
Vol 21 (1) ◽  
pp. 121-126 ◽  
Author(s):  
Agustín Alfredo Silberberg ◽  
Juan Eduardo Gallo
Keyword(s):  
Medical Treatment ◽  
Critically Ill ◽  
Preterm Infants ◽  
Ethical Dilemmas ◽  
Diagnostic Information ◽  
End Of Life Decisions ◽  
Neonatal Treatment ◽  
Anonymous Questionnaire ◽  
Critically Ill Neonates ◽  
Clinical Conditions

The objective of this article is to examine end of life decisions made by neonatologists of Córdoba, Argentina. An anonymous questionnaire was designed to investigate neonatologists’ decisions on when to initiate or withdraw treatment in critical neonates. All neonatologists who take care of critically ill neonates in Córdoba participated in the survey. More than 75% of them would initiate treatment in preterm infants with uncertain prognosis based on the viability of the newborn. Because it is common to find that critically ill neonates lack sufficient diagnostic information at birth, this attitude seems to manifest a certain therapeutic activism. However, more than 80% of physicians withdraw futile treatments that do not produce benefits. Cordoban neonatologists initiate medical treatment based on the current clinical conditions of neonates, applying a certain degree of therapeutic activism. Doctors withdraw neonatal treatment when it is considered futile.

Parents' Perception of Diagnostic Reports and Conferences

1983 ◽  
Vol 14 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Betty U. Watson ◽  
Ronald W. Thompson
Keyword(s):  
Medical Treatment ◽  
Diagnostic Information ◽  
Learning Language ◽  
Speech Learning ◽  
Hearing Problems

The purpose of this study was to evaluate parents' reactions and understanding of diagnostic information from written reports and conferences in a clinic which provides multidisciplinary evaluations for children with speech, learning, language, and hearing problems. Previous studies and anecdotal reports suggested that many parents do not receive appropriate diagnostic information about their children. In the present study questionnaires were mailed to parents who had received reports of evaluations and most of whom had attended hour-long conferences covering the findings. Questionnaires were also sent to professionals who had received reports. Fifty-seven percent of the parents, and 63% of the professionals returned the questionnaires. Ninety percent of the parents indicated that they had understood the results as they were presented in the conference. Ninety-three percent of the professionals and 89% of the parents stated they understood the conclusions of the written reports .Further, 83% of the parents and 80% of the professionals reported that the findings had made a change in the child's educational or medical treatment. The percentage of parents who reported understanding the findings was greater than expected. The specific informing techniques used in this study are discussed.

Heart rate variability of transported critically ill neonates

2013 ◽  
Vol 172 (12) ◽  
pp. 1565-1571 ◽  
Author(s):  
Nejc Snedec ◽  
Milanka Simoncic ◽  
Matjaz Klemenc ◽  
Alojz Ihan ◽  
Ivan Vidmar ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Critically Ill ◽  
Critically Ill Neonates

Urinary Nephrin as a Biomarker of Glomerular Maturation and Injury Is Associated with Acute Kidney Injury and Mortality in Critically Ill Neonates

Neonatology ◽  
2019 ◽  
Vol 116 (1) ◽  
pp. 58-66
Author(s):  
Jiao Chen ◽  
Gen Li ◽  
Sanfeng Wang ◽  
Xiaohan Hu ◽  
Yunqing Sun ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Critically Ill ◽  
Kidney Injury ◽  
Critically Ill Neonates
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