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Text
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Citation List Month
July 2016 List
Dublin Core
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Title
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In What Circumstances Will A Neonatologist Decide A Patient Is Not A Resuscitation Candidate?
Publisher
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Journal Of Medical Ethics
Date
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2016
Subject
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Futility; Intensive Care; Social Issues; Social Sciences; Biomedical; Ethics Medical; Slow Code; Uncertainty; Neonatologists; Practice; Decision Making; Analysis; Do-not-resuscitate Orders; Decision Making; Intensive Care; Pediatrics; Ethics; Pulmonary Arteries; Ostomy; Palliative Care; Medical Prognosis
End-of-life Care; Foetal Viability; Neonatology; Newborns And Minors; Palliative Care
Creator
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Peter Daniel Murray; Denise Esserman; Mark Randolph Mercurio
Description
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Objective The purpose of this study was to determine the opinions of practising neonatologists regarding the ethical permissibility of unilateral Do Not Attempt Resuscitation (DNAR) decisions in the neonatal intensive care unit.
Study design An anonymous survey regarding the permissibility of unilateral DNAR orders for three clinical vignettes was sent to members of the American Academy of Pediatrics Section of Perinatal Medicine.
Results There were 490 out of a possible 3000 respondents (16%). A majority (76%) responded that a unilateral DNAR decision would be permissible in cases for which survival was felt to be impossible. A minority (25%) responded ‘yes’ when asked if a unilateral DNAR order would be permissible based solely on neurological prognosis.
Conclusions A majority of neonatologists believed unilateral DNAR decisions are ethically permissible if survival is felt to be impossible, but not permissible based solely on poor neurological prognosis. This has significant implications for clinical care.
Identifier
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doi:10.1136/medethics-2015-102941
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Analysis
Biomedical
Decision Making
Denise Esserman
Do-not-resuscitate Orders
End-of-life Care
Ethics
Ethics Medical
Foetal Viability
Futility
Intensive Care
Journal of Medical Ethics
July 2016 List
Mark Randolph Mercurio
Medical Prognosis
Neonatologists
Neonatology
Newborns And Minors
Ostomy
Palliative Care
Pediatrics
Peter Daniel Murray
Practice
Pulmonary Arteries
Slow Code
Social Issues
Social Sciences
Uncertainty