Pediatrics

Avery's Neonatology: Pathophysiology and Management of the by Mhairi G. MacDonald MBChB DCH FRCPE FAAP , Mary M.K.

By Mhairi G. MacDonald MBChB DCH FRCPE FAAP , Mary M.K. Seshia MBChB DCH FRCPE FRCPCH

Revised and up to date through a brand new editorial group, the 6th version of this article will stay the major reference at the scientific care of the infant. It offers whole, authoritative info at the biology of the child and the pathophysiology and administration of illnesses through the neonatal period.

This variation has 5 new chapters at the position of telemedicine in neonatology, the effect of work and supply at the fetus, fetal determinants of grownup illness, breast feeding, and regulate of respiring and apnea. additionally integrated is a full-color insert illustrating key signs, chosen imaging options, and dermatologic conditions.

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How often active euthanasia of neonates actually occurs in the United States is not known. However, there is a significantly different approach in Europe. Recent studies suggest that while active euthanasia is illegal and rarely occurs in most countries, it appears to be acceptable practice in the Netherlands and France. Approximately 70% of neonatal physicians in France and 45% in the Netherlands have been involved in a decision of active euthanasia (50). Confusion arises when the term â passive euthanasiaâ is used for decisions to withdraw life-sustaining therapy with the expectation that the patient will die (51).

When possible, the use of educational materials, tours of the NICU, or videos of NICU experiences may further the parents understanding of the situation. The Colorado Collective for Medical Decisions has developed a video especially for the parents of an ELBW infant (108). Infants with Severe Encephalopathy/Brain Death Infants with perinatal hypoxic-ischemic injury may have lethal multisystem failure. However, more often they are able to survive despite severe central nervous system (CNS) injury.

Approximately 70% of neonatal physicians in France and 45% in the Netherlands have been involved in a decision of active euthanasia (50). Confusion arises when the term â passive euthanasiaâ is used for decisions to withdraw life-sustaining therapy with the expectation that the patient will die (51). 14 in spite of an ethical duty to provide this type of care. â However, others would suggest that intention is an important determinant (52). Describing what actually is being considered as a plan of care and avoiding the terminology may prevent the confusion and the associated emotion.

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