Decision-making at the borderline of viability: Who should decide and on what basis?

Gillam Lynn; Wilkinson Dominic; Xafis Vicki; Isaacs David

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Decision-making at the borderline of viability: Who should decide and on what basis?

机译：在生存能力边界的决策：谁应该决定和在什么基础上？

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Parents and medical staff usually agree on the management of preterm labour at borderline viability, when there is a relatively high risk of long-term neurodevelopmental problems in survivors. If delivery is imminent and parents and staff cannot agree on the best management, however, who should decide what will happen when the baby is delivered? Should the baby be resuscitated? Should intensive care be initiated? Three ethicists, one of whom is also a neonatologist, discuss this complex issue.

机译：父母和医务人员通常同意在生存者中存在相对较高的长期神经发育问题风险的情况下，以临界生存能力管理早产。然而，如果即将分娩，父母和工作人员无法就最佳管理达成一致，那么谁应该决定分娩时会发生什么？婴儿应该复苏吗？应该启动重症监护吗？三位伦理学家（其中一位也是新生儿学家）讨论了这个复杂的问题。

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《Journal of paediatrics and child health》 |2017年第2期|共7页
作者
Gillam Lynn; Wilkinson Dominic; Xafis Vicki; Isaacs David;
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作者单位

Univ Melbourne Royal Childrens Hosp Childrens Bioeth Ctr Melbourne Vic Australia;

Oxford Uehiro Ctr Pract Eth Oxford England;

Univ Sydney Sydney Childrens Hosp Network Clin Eth Sydney NSW Australia;

Univ Sydney Sydney Childrens Hosp Network Clin Eth Sydney NSW Australia;

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正文语种 eng
中图分类儿科学;
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6. Exact days of gestation necessary for infants at borderline viability: reply to Proactive approach at the limits of viability improves the short-term outcome of neonates born after 23weeks’ gestation. P. ?imják, J. Smí?ek, M. Koucky, T. Lamberská, R. Plavka and Z. Hájek. J Perinat Med 2017 [J] . ShilpiChabra Journal of Perinatal Medicine . 2018,第1期

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10. Decision‐making at the borderline of viability: Who should decide and on what basis? [O] . Lynn Gillam, Dominic Wilkinson, Vicki Xafis, -1

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11. Decision-making at the borderline of viability. Who should decide and on what basis? [O] . Wilkinson, D, Gillam, L, Xafis, V, 2017

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Decision-making at the borderline of viability: Who should decide and on what basis?

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