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Pediatr Crit Care Me · May 2007
Case ReportsInstitutional policies on determination of medically inappropriate interventions: use in five pediatric patients.
- Regina Okhuysen-Cawley, Mona L McPherson, and Larry S Jefferson.
- Critical Care Medicine and Medical Ethics Committee, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA. okhuysencawleyregina@uams.edu
- Pediatr Crit Care Me. 2007 May 1;8(3):225-30.
ObjectiveTo describe recent experience using the Texas Advance Directives Act to facilitate care of terminally ill children managed in the two tertiary pediatric hospitals of the Texas Medical Center, Houston, TX.DesignRetrospective chart review.SettingTwo multidisciplinary pediatric intensive care units in Houston, TX.PatientsFive terminally ill children whose parents were unable to acquiesce to comfort or palliative care.InterventionsImplementation of the Texas Advanced Directives Act of 1999.ResultsSuspension of interventions thought to be medically inappropriate by the physicians of record in four of the five cases, with transfer of care in one instance.ConclusionsUse of institutional policies in accordance with the Texas Advance Directives Act may assist in the care of terminally ill children and their families.
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