-
Rev Hosp Clin Fac Med Sao Paulo · Jan 2004
ReviewEthical aspects in the management of the terminally ill patient in the pediatric intensive care unit.
- Lara de Araújo Torreão, Crésio Romeu Pereira, and Eduardo Troster.
- São Rafael Hospital and Pediatric Wards, Hospital das Clínicas, Federal University of Bahia, Salvador, BA, Brazil.
- Rev Hosp Clin Fac Med Sao Paulo. 2004 Jan 1;59(1):3-9.
ObjectiveTo identify the prevalence of management plans and decision-making processes for terminal care patients in pediatric intensive care units.MethodologyEvidence-based medicine was done by a systematic review using an electronic data base (LILACS, 1982 through 2000) and (MEDLINE, 1966 through 2000). The key words used are listed and age limits (0 to 18 years) were used.ResultsOne hundred and eighty two articles were found and after selection according to the exclusion/inclusion criteria and objectives 17 relevant papers were identified. The most common decisions found were do-not-resuscitation orders and withdrawal or withholding life support care. The justifications for these were "imminent death" and "unsatisfatory quality of life".ConclusionCare management was based on ethical principles aiming at improving benefits, avoiding harm, and when possible, respecting the autonomy of the terminally ill patient.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..