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Titolo:
Using potentially life-shortening drugs in neonates and infants
Autore:
van der Heide, A; van der Maas, PJ; van der Wal, G; Kollee, LAA; de Leeuw, R;
Indirizzi:
Erasmus Univ, Dept Publ Hlth, NL-3000 DR Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands NL-3000 DR DR Rotterdam, Netherlands Vrije Univ Amsterdam, Inst Res Extramural Med, NL-1081 HV Amsterdam, Netherlands Vrije Univ Amsterdam Amsterdam Netherlands NL-1081 HV erdam, Netherlands Vrije Univ Amsterdam, Dept Social Med, NL-1081 HV Amsterdam, Netherlands Vrije Univ Amsterdam Amsterdam Netherlands NL-1081 HV erdam, Netherlands Paediat Assoc Netherlands, Utrecht, Netherlands Paediat Assoc NetherlandsUtrecht Netherlands nds, Utrecht, Netherlands
Titolo Testata:
CRITICAL CARE MEDICINE
fascicolo: 7, volume: 28, anno: 2000,
pagine: 2595 - 2599
SICI:
0090-3493(200007)28:7<2595:UPLDIN>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
NETHERLANDS; SUPPORT; DEATH;
Keywords:
medical ethics; child; newborn infant; pediatric intensive care units; analgesics; life-support care; opioids; retrospective studies; human; decision making;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: van der Heide, A Erasmus Univ, Dept Publ Hlth, NL-3000 DR Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands NL-3000 DR therlands
Citazione:
A. van der Heide et al., "Using potentially life-shortening drugs in neonates and infants", CRIT CARE M, 28(7), 2000, pp. 2595-2599

Abstract

Objective: To describe the frequency, background, and impact of decisions to give analgesic or other drugs that may, intentionally or unintentionally, shorten the life-span of severely ill neonates. Setting: The Netherlands. Design: Retrospective, cross-sectional study. Patients: Questionnaires were mailed in The Netherlands to physicians reporting 338 consecutive deaths of infants under 1 yr of age from August through November 1995. Interventions: None. Measurements and Main Results. Questions were as)ted about medical end-of-life decisions preceding the death of the infant and about the decision-making process. Potentially life-shortening drugs, mostly opioids, were given in 37% of all deaths. The estimated effect in terms of the shortening of life was <1 wk in 72% of all patients in whom the administration of potentially life-shortening drugs had been the most important end-of-lifo decision. Most decisions to administer such drugs were dis-cussed with parents and colleagues. The decisions were discussed regarding virtually all patients in whom the physician had intended to hasten death; doses of opioids tended tobe larger in this group. Conclusions: The frequency with which drugs that may shorten life are administered before the death of severely ill infants confirms the important role of modern medicine in dying in neonatology. Most physicians caring for neonates feel that palliative medication may be warranted in dying infants, even if it shortens life. A distinction between intentionally ending life and providing adequate terminal care by alleviating pain or other symptoms, which is important in moral and judicial terms, is probably not easily madefor some of these patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 09:35:28