Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina

Autores
Silberberg, A; Gallo, Juan Eduardo Maria
Año de publicación
2017
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
The objetive of this article is to examine end of life decisions in neonatologists of Cordoba City, Argentina. An anonymous questionnaire was designed to investigate neonatologists´ decisions on when to initiate or withdraw treatment in critical neonates. All neonatologists who take care of critically ill neonates in Cordoba participated in the survey. More than 75 % of them would initiate treatment in preterm infants with uncertain prognosis based on the viability of the newborn. Because it is common to find that critically ill neonates lack sufficient diagnostic information at birth, this attitude seems to manifest a certain therapeutic activism. However, more than 80% of physicians withdraw futile treatments that do not produce benefits. Cordoban neonatologists initiate medical treatment based on the current clinical conditions of neonates, applying a certain degree of therapeutic activism. Doctors withdraw neonatal treatment when it is considered futile
Fil: Silberberg, A. Universidad Austral. Facultad de Ciencias Biomédicas; Argentina
Fil: Gallo, Juan Eduardo Maria. Universidad Austral. Facultad de Ciencias Biomédicas. Instituto de Investigaciones en Medicina Traslacional. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones en Medicina Traslacional; Argentina
Materia
Ill Critically Infants
Bioethics
Medical Ethics
Euthanasia
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/44917
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, ArgentinaSilberberg, AGallo, Juan Eduardo MariaIll Critically InfantsBioethicsMedical EthicsEuthanasiahttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3The objetive of this article is to examine end of life decisions in neonatologists of Cordoba City, Argentina. An anonymous questionnaire was designed to investigate neonatologists´ decisions on when to initiate or withdraw treatment in critical neonates. All neonatologists who take care of critically ill neonates in Cordoba participated in the survey. More than 75 % of them would initiate treatment in preterm infants with uncertain prognosis based on the viability of the newborn. Because it is common to find that critically ill neonates lack sufficient diagnostic information at birth, this attitude seems to manifest a certain therapeutic activism. However, more than 80% of physicians withdraw futile treatments that do not produce benefits. Cordoban neonatologists initiate medical treatment based on the current clinical conditions of neonates, applying a certain degree of therapeutic activism. Doctors withdraw neonatal treatment when it is considered futileFil: Silberberg, A. Universidad Austral. Facultad de Ciencias Biomédicas; ArgentinaFil: Gallo, Juan Eduardo Maria. Universidad Austral. Facultad de Ciencias Biomédicas. Instituto de Investigaciones en Medicina Traslacional. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones en Medicina Traslacional; ArgentinaSAGE2017-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/44917Silberberg, A; Gallo, Juan Eduardo Maria; Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina; SAGE; Journal of Child Health Care; 21; 1; 1-2017; 121-1261741-2889CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1177/1367493516689608info:eu-repo/semantics/altIdentifier/url/http://journals.sagepub.com/doi/10.1177/1367493516689608info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-17T11:15:57Zoai:ri.conicet.gov.ar:11336/44917instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-17 11:15:57.621CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
title Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
spellingShingle Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
Silberberg, A
Ill Critically Infants
Bioethics
Medical Ethics
Euthanasia
title_short Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
title_full Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
title_fullStr Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
title_full_unstemmed Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
title_sort Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina
dc.creator.none.fl_str_mv Silberberg, A
Gallo, Juan Eduardo Maria
author Silberberg, A
author_facet Silberberg, A
Gallo, Juan Eduardo Maria
author_role author
author2 Gallo, Juan Eduardo Maria
author2_role author
dc.subject.none.fl_str_mv Ill Critically Infants
Bioethics
Medical Ethics
Euthanasia
topic Ill Critically Infants
Bioethics
Medical Ethics
Euthanasia
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv The objetive of this article is to examine end of life decisions in neonatologists of Cordoba City, Argentina. An anonymous questionnaire was designed to investigate neonatologists´ decisions on when to initiate or withdraw treatment in critical neonates. All neonatologists who take care of critically ill neonates in Cordoba participated in the survey. More than 75 % of them would initiate treatment in preterm infants with uncertain prognosis based on the viability of the newborn. Because it is common to find that critically ill neonates lack sufficient diagnostic information at birth, this attitude seems to manifest a certain therapeutic activism. However, more than 80% of physicians withdraw futile treatments that do not produce benefits. Cordoban neonatologists initiate medical treatment based on the current clinical conditions of neonates, applying a certain degree of therapeutic activism. Doctors withdraw neonatal treatment when it is considered futile
Fil: Silberberg, A. Universidad Austral. Facultad de Ciencias Biomédicas; Argentina
Fil: Gallo, Juan Eduardo Maria. Universidad Austral. Facultad de Ciencias Biomédicas. Instituto de Investigaciones en Medicina Traslacional. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones en Medicina Traslacional; Argentina
description The objetive of this article is to examine end of life decisions in neonatologists of Cordoba City, Argentina. An anonymous questionnaire was designed to investigate neonatologists´ decisions on when to initiate or withdraw treatment in critical neonates. All neonatologists who take care of critically ill neonates in Cordoba participated in the survey. More than 75 % of them would initiate treatment in preterm infants with uncertain prognosis based on the viability of the newborn. Because it is common to find that critically ill neonates lack sufficient diagnostic information at birth, this attitude seems to manifest a certain therapeutic activism. However, more than 80% of physicians withdraw futile treatments that do not produce benefits. Cordoban neonatologists initiate medical treatment based on the current clinical conditions of neonates, applying a certain degree of therapeutic activism. Doctors withdraw neonatal treatment when it is considered futile
publishDate 2017
dc.date.none.fl_str_mv 2017-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/44917
Silberberg, A; Gallo, Juan Eduardo Maria; Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina; SAGE; Journal of Child Health Care; 21; 1; 1-2017; 121-126
1741-2889
CONICET Digital
CONICET
url http://hdl.handle.net/11336/44917
identifier_str_mv Silberberg, A; Gallo, Juan Eduardo Maria; Ethical dilemmas associated with clinician´s decisions about treatment in critically ill Infants Born in Cordoba, Argentina; SAGE; Journal of Child Health Care; 21; 1; 1-2017; 121-126
1741-2889
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1177/1367493516689608
info:eu-repo/semantics/altIdentifier/url/http://journals.sagepub.com/doi/10.1177/1367493516689608
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv SAGE
publisher.none.fl_str_mv SAGE
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.001348

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