Extrême prématurité: les limites de la réanimation néonatale [Extreme prematurity: the limits of neonatal resuscitation].

Details

Serval ID
serval:BIB_828C5344D64E
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Extrême prématurité: les limites de la réanimation néonatale [Extreme prematurity: the limits of neonatal resuscitation].
Journal
Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Author(s)
Simeoni U., Lacroze V., Leclaire M., Millet V.
ISSN
0368-2315 (Print)
ISSN-L
0150-9918
Publication state
Published
Issued date
2001
Peer-reviewed
Oui
Volume
30
Number
6 Suppl
Pages
S58-S63
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Review Publication Status: ppublish
Abstract
How far providing neonatal intensive care to extremely low birth weight infants is appropriate is still a highly controversial issue. Decision making when a poor prognosis has been established may be facilitated by consensus based recommendations and rigorous procedures. In the very majority of situations, the provision of intensive care is advocated at birth a priori. A decision of treatment withholding or withdrawal may eventually be made secondarily, in the case major neurological complications, likely to induce severe long term deficits, are evidenced. In any case, an ethical policy focused on each infant's best interest is justified, while the adoption of a systematic, gestational age or birth weight based restriction of access to intensive care may not be acceptable in most countries. Rigorous criteria must be fulfilled for end of life decision making and procedures. Continuous assistance to the patient and to the parents is key determinant.
Keywords
Ethics, Medical, Gestational Age, Humans, Infant, Newborn, Infant, Premature, Infant, Very Low Birth Weight, Intensive Care, Neonatal, Prognosis, Resuscitation
Pubmed
Create date
22/02/2015 11:16
Last modification date
20/08/2019 14:42
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