Journal article
Ethical challenges with decisions to withhold or withdraw resuscitation in pediatric surgery
Seminars in pediatric surgery, Vol.30(5), pp.151096-151096
10/2021
DOI: 10.1016/j.sempedsurg.2021.151096
PMID: 34635284
Abstract
Providers often dispute the ethical equivalence of withholding and withdrawing care, despite theoretical frameworks that support equivalency. We highlight two cases, one where providers express concern with initiation of aggressive resuscitation and another where providers experience emotional distress from the decision to cease resuscitation. Both cases illustrate how the ethical challenges encountered can result in high levels of provider distress. Mitigation of this moral distress by team members will require an improved understanding of available evidence in the literature and active discussion by debriefing after a child dies. Medical staff and national organizations can help recognize that these patient events contribute to provider burnout and facilitate the design and support of programs to increase provider resiliency.
Details
- Title: Subtitle
- Ethical challenges with decisions to withhold or withdraw resuscitation in pediatric surgery
- Creators
- Erica M. Carlisle - University of Iowa Hospitals and ClinicsCharles E. Bagwell - Virginia Commonwealth University Medical Center
- Resource Type
- Journal article
- Publication Details
- Seminars in pediatric surgery, Vol.30(5), pp.151096-151096
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.sempedsurg.2021.151096
- PMID
- 34635284
- ISSN
- 1055-8586
- eISSN
- 1532-9453
- Language
- English
- Date published
- 10/2021
- Academic Unit
- Stead Family Department of Pediatrics; Surgery
- Record Identifier
- 9984322820402771
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