A guideline for withholding life-sustaining medical treatment (LSMT) in pediatric patients has been issued by the American Academy of Pediatrics

1994 ◽  
Vol 94 (4) ◽  
pp. 278D
PEDIATRICS ◽  
1978 ◽  
Vol 62 (5) ◽  
pp. 838-838
Author(s):  

In 1972 the American Academy of Pediatrics stated that the purview of pediatrics begins in the period prior to birth when conception is apparent and continues to age 21 years. The Committee on Adolescence believes that the terminology used in all Academy materials should be changed to reflect the pediatrician's expanded role. The words "infant," "child," "adolescent," and "young adult" connote different images which, in turn, provoke the age-specific response. The Committee on Adolescence recommends that all references to pediatric patients give proper semantic recognition to infants, children, and adolescents, and that the Academy adopt the policy that the term "child" should no longer be used for all age groups. The words "youth," "adolescent," or "adolescence" should be used when referring to those between puberty and maturity.


PEDIATRICS ◽  
1995 ◽  
Vol 95 (3) ◽  
pp. 454-455
Author(s):  
Joel Frader

Pediatrics deserves congratulations for publishing the article by Clark1 on decisions to withdraw or withhold medical treatment in pediatrics. Clark is right to point out the disturbing discrepancy between federal and state standards on this important matter. A number of other important points deserve emphasis. First, the American Academy of Pediatrics (AAP) policy statement, "Guidelines on Forgoing Life-Sustaining Medical Treatment,"2 developed by its Committee on Bioethics, was published earlier this year. Although guidelines do not constitute a standard of medical care, they do provide a useful approach that pediatricians might follow when faced with these difficult situations.


PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 343-344

SECTION ON ANESTHESIOLOGY—NEW PROGRAM: The Section on Anesthesiology of the American Academy of Pediatrics is co-sponsoring two-day visits to community hospitals by one or two pediatric anesthesiologists from children's hospitals in their areas. One talk will be given each day. Suggested topics are: ventilatory care for neonates; advances in pediatric anesthesia; respiratory treatment for pediatric patients; temperature maintainance and transport of sick infants; and evaluation of new equipment. The Section on Anesthesiology will pay the honorarium and the hospital/medical society/community will be expected to pay the expenses.


Author(s):  
Е.А. Померанцева ◽  
А.А. Исаев ◽  
А.П. Есакова ◽  
И.В. Поволоцкая ◽  
Е.В. Денисенкова ◽  
...  

Согласно рекомендациям Американской академии педиатрии при постановке диагноза аутизм, следует направить семью на консультацию генетика и генетическое обследование. Однако оптимальный подход к алгоритму генетического обследования при выявлении расстройства аутистического спектра еще предстоит разработать. В рамках исследования было проведено сравнение выявляемости генетических факторов аутизма различными молекулярно-генетическими тестами. According to American Academy of Pediatrics recent guidelines, each family with a child diagnosed with autistic spectrum disorder should be reffered to a medical geneticist and offered genetic tests. However, an optimal genetic testing algorithm has yet to be developed. This study was conducted to compare abilities of different molecular-genetic methods to detect genetic factors of autistic spectrum disorders.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A224-A224
Author(s):  
Anne Marie Morse

Abstract Introduction Specialized health care guidelines for children with Down Syndrome (DS) published by the American Academy of Pediatrics (AAP) provided specific recommendations based on the higher risk needs of individuals with DS. Obstructive sleep apnea (OSA) is reported to be present in 50–79% of individuals with DS. According to the AAP guideline, all individuals with DS should have a polysomnography (PSG) evaluating for OSA by 4 years old and then screened by history and physical exam annually thereafter. An interim analysis of an ongoing Down Syndrome Research study was evaluated to determine rate of adherence to these guidelines. Methods The Dimensional, Sleep, and Genomic Analyses of Down Syndrome to Elucidate Phenotypic Variability study enrolled down syndrome patients 30 months and older, as well as first degree relatives to participate. Patients completed a standardized clinical sleep interview, childhood sleep habits questionnaire and was asked to complete 2 week sleep diary, actigraphy and polysomnography. We aimed to characterize the rate of PSG completion by 4 years of age, number of research PSGs completed and rate of OSA identified on research PSG. Results A total of 31 patients were consented. The median patient age was 10 years old with a slight female predominance (15F:12M). 27 patients completed the sleep interview and 19 successfully completed a scorable polysomnography. Only 7 patients had completed a PSG previously by age of 4 years. 11 of 19 studies demonstrated obstructive sleep apnea ranging from mild to severe severity (1.7–42.5/hr). REM AHI (range 1.2–58.2/hr, mean 19/hr and median 12.3/hr) demonstrated increased severity. Conclusion Despite AAP guidelines recommending universal PSG evaluation by the age of 4 years of age, only 26% of patients interviewed has a PSG successfully completed previously. Additional recommendations by AAP include yearly surveillance of symptoms although there is poor correlation between parent report and polysomnogram results. Of the 19 research completed PSGs, 58% demonstrated OSA with the mean and median results consistent with moderate to severe OSA and worsening during REM sleep. Improved effort to successfully obtain PSG in this population is needed. Further study is ongoing to evaluate the relationship to other health and cognitive outcomes. Support (if any) NIMH


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