Medical ethics in pediatric critical care
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Updated: May 12, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Alberto Orioles1, Wynne E Morrison
1Departments of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Insights
Ethical dilemmas are frequent in pediatric critical care but often manageable. Intensivists should utilize hospital ethics committees and national guidelines for proactive, evidence-based care.
Area of Science:
- Pediatric Critical Care Medicine
- Medical Ethics
Background:
- Ethically charged situations frequently occur in pediatric critical care settings.
- Most ethical issues are resolved with limited conflict among medical teams and families.
Purpose of the Study:
- To outline strategies for managing ethical challenges in pediatric critical care.
- To emphasize the importance of resources and collaboration in ethical decision-making.
Main Methods:
- Review of common ethical scenarios in pediatric intensive care.
- Identification of key institutional and national resources for ethical support.
- Emphasis on communication within multidisciplinary teams.
Main Results:
- Familiarity with hospital ethics committees and national guidelines (e.g., American Academy of Pediatrics, American Medical Association, Society of Critical Care Medicine) is crucial.
- Open communication among colleagues and the multidisciplinary team facilitates proactive and collegial management of ethical issues.
Conclusions:
- Effective management of ethical dilemmas in pediatric critical care relies on accessible resources and open communication.
- A proactive, evidence-based, and collaborative approach ensures optimal patient care and family support during challenging ethical situations.
Abstract:
Ethically charged situations are common in pediatric critical care. Most situations can be managed with minimal controversy within the medical team or between the team and patients/families. Familiarity with institutional resources, such as hospital ethics committees, and national guidelines, such as publications from the American Academy of Pediatrics, American Medical Association, or Society of Critical Care Medicine, are an essential part of the toolkit of any intensivist. Open discussion with colleagues and within the multidisciplinary team can also ensure that when difficult situations arise, they are addressed in a proactive, evidence-based, and collegial manner.
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