Ethics in neonatal neurology: when is enough, enough?

Pediatr Neurol. 2009 Mar;40(3):147-55. doi: 10.1016/j.pediatrneurol.2008.09.013.

Abstract

Decision-making for the severely neurologically compromised newborn is fraught with considerable medical and ethical difficulties. Multiple intrinsic and extrinsic factors challenge our prognostic certainty, which then challenges our ability both to communicate and to make decisions that are rooted in basic principles of fairness and moral integrity. Clinical vignettes illustrate the difficulties and highlight the present status regarding prognostication and consideration of general ethical principles that would permit the consensual withdrawal of care (i.e., end-of-life decisions). Futility in the neonatal setting is examined, as well the mechanisms of the decision-making process and existing relevant professional guidelines.

Publication types

  • Case Reports
  • Introductory Journal Article
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Decision Making / ethics
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Neonatology / ethics*
  • Neonatology / methods
  • Nervous System Diseases / therapy
  • Neurology / ethics*
  • Neurology / methods