Avery's Neonatology: Pathophysiology and Management of the by Mhairi G. MacDonald MBChB DCH FRCPE FAAP , Mary M.K.


Revised and up-to-date through a brand new editorial staff, the 6th variation of this article will stay the prime reference at the medical care of the infant. It presents whole, authoritative info at the biology of the infant and the pathophysiology and administration of illnesses through the neonatal period.

This version has 5 new chapters at the position of telemedicine in neonatology, the impression of work and supply at the fetus, fetal determinants of grownup disorder, breast feeding, and keep an eye on of respiring and apnea. additionally integrated is a full-color insert illustrating key signs, chosen imaging concepts, and dermatologic conditions.

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KNOT (Known, NOt Treatable). Although only a small number of infants fit into this category, treatment decisions for this group frequently take a disproportionate amount of time. This group includes neonates with anencephaly and those with lethal genetic disorders such as trisomy 13 and trisomy 18. Transfer of neonates with anencephaly for aggressive support is not indicated; transfer of those with lethal genetic defects is not indicated if there are facilities for accurate diagnosis â and appropriate care and counseling at the hospital of birth.

Clifton, NJ: Humana Press, 1985:3. g State ex rel. Infant Doe v Baker, No. 482 S 140 (Ind. May 27, 1982). S. 2d 685, 686 (App. 610 at 611(1986). S. Department of Health and Human Services. Nondiscrimination on the basis of handicaps: procedures and guidelines relating to health care for handicapped infants. Federal Register 1984 Jan 12:49:622â 654. S. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Seriously ill newborns, in deciding to forego life-sustaining treatment: a report on the ethical, medical and legal issues in treatment decisions.

There should be no discussion of removing â life-sustaining treatmentâ or â keeping the baby aliveâ because the patient is legally dead. The term â euthanasiaâ generates a great deal of confusion and debate in legal, legislative, media, and clinical spheres. Active versus passive euthanasia, voluntary versus involuntary euthanasia, physician-assisted suicide, and other descriptors have created unfortunate ambiguity about the actual issue at hand. If one defines euthanasia or active euthanasia as directly and actively causing the death of a patient who may not be imminently dying or is dependent on life-sustaining technology, usually by administering a lethal dose of a drug, most state law and policies of the American Medical Association and the American Academy of Pediatrics would prohibit that action (48,49).

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