Medical ethics in pediatric critical care

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.

Critical Care Clinics
|March 30, 2013
PubMed

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.

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