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The Outpatient Management of a Brain Dead Child

Published online by Cambridge University Press:  29 July 2009

Gregory L. Stidham ,
Amnon Goldworth ,
Gail Joralemon ,
David A. Bennahum  and
Alexander Ivanjushkin
Gregory L. Stidham
Affiliation:
Associate Professor of Pediatrics and Anesthesiology and Director, Critical Care, University of Tennessee, Memphis, and chairs the Bioethics Committee at Le Bonheur Children's Medical Center
Amnon Goldworth
Affiliation:
Stanford University, Stanford, California
Gail Joralemon
Affiliation:
University of New Mexico Hospital, St. Joseph Health System's Institutional Review Board, and the New Mexico Department of Human Services Task Force on Healthcare Reform
David A. Bennahum
Affiliation:
Professor of Medicine & Family and Community Medicine, University of New Mexico, Albuquerque, and serves as Chair of the Biomedical Ethics Committee of the University of New Mexico Hospital
Alexander Ivanjushkin
Affiliation:
Professor in the Department of Philosophy, Russian Medical Academy of Science, Moscow
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Extract

The patient, a 27-month-old girl, presented to Hospital B by ambulance in acute respiratory failure due to bilateral pneumothoraces.

At 41 weeks, the patient had been delivered by Cesarean section for failure to progress at Hospital A in the same city. Three days after birth she suffered a respiratory arrest. Resuscitation and ventilator support were initiated promptly but the child did poorly, and shortly after this first arrest, the parents were told by the child's physician that she had no chance of recovery. Nevertheless, the mother continued to insist that the child be kept on a respirator and aggressive support be maintained.

Type
Ethics Committees at Work
Information
Cambridge Quarterly of Healthcare Ethics , Volume 2 , Issue 3 , Summer 1993 , pp. 359 - 370
Copyright
Copyright © Cambridge University Press 1993

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References

Notes

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