Titlebook: Bioethics in the Pediatric ICU: Ethical Dilemmas Encountered in the Care of Critically Ill Children; Laura Miller-Smith,ásdís Finnsdóttir

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https://doi.org/10.1007/978-3-658-03139-8providers have a duty to hone these skills. In doing so, they will improve the experience of parents in the death of their child, decrease moral distress and burn-out within the PICU, and most importantly, improve the care provided to our patients.

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https://doi.org/10.1007/978-3-642-55634-0 donation that are viewed as treating the patient as a means to an end, other than their own well-being. While many argue this is an altruistic goal we should all share, others argue that it should not be imposed upon a pediatric patient. Organ allocation also has ethical concerns, about selection c

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Epidemiology of Critical Illness in Children,ribe the patients being affected. Death among children has changed from a common reality, to a rare event. Within the United States, the mortality rate among children fell from 100 in 1000 births in 1900, down to 5.9 deaths among 1000 births in 2015. Within the PICU setting, mortality rates average

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The Historical Foundation of Pediatric Critical Care, children has been advanced by those who were willing to push boundaries. Critical care required the development of medical technology that some questioned as being cruel and certainly experimental. Others pushed against stigmas of who was worth saving. Certainly issues of resource allocation, and w

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Shared Decision Making and End-of-Life Discussions in the PICU,cisions for dying patients was physically, emotionally and morally easier when patients were less complex and less dependent upon technology, and when physicians felt justified in making unilateral decisions. Now these decisions are more complex. They require parents to comprehend complicated medica

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Intractable Disagreements About Futility in the PICU,inition of futility remains elusive in the medical community, efforts have been made by critical care societies to differentiate between appropriate therapeutic options from potentially inappropriate and inappropriate treatments. Inappropriate treatments should not be offered. However, it can be cha

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