Infant With Trisomy 18 and Hypoplastic Left Heart Syndrome.


Journal

Pediatrics
ISSN: 1098-4275
Titre abrégé: Pediatrics
Pays: United States
ID NLM: 0376422

Informations de publication

Date de publication:
05 2019
Historique:
accepted: 03 12 2018
pubmed: 6 4 2019
medline: 15 11 2019
entrez: 6 4 2019
Statut: ppublish

Résumé

We present a case in which a fetal diagnosis of complex congenital heart disease and trisomy 18 led to a series of decisions for an infant who was critically ill. The parents wanted everything done. The surgeons believed that surgery would be futile. The parents publicized the case on social media, which led to publicity and pressure on the hospital. The case reveals the intersection of parental values, clinical judgments, ethics consultation, insurance company decisions about reimbursement, and social media publicity. Together, these factors complicate the already delicate ethical deliberations and decisions.

Identifiants

pubmed: 30948683
pii: peds.2018-3779
doi: 10.1542/peds.2018-3779
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2019 by the American Academy of Pediatrics.

Déclaration de conflit d'intérêts

POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

Auteurs

Stephanie Kukora (S)

Center for Bioethics and Social Sciences in Medicine, skukora@med.umich.edu.
Division of Neonatal-Perinatal Medicine, Department of Pediatrics.

Janice Firn (J)

Center for Bioethics and Social Sciences in Medicine.
Division of Professional Education, Department of Learning Health Sciences, and.

Naomi Laventhal (N)

Center for Bioethics and Social Sciences in Medicine.
Division of Neonatal-Perinatal Medicine, Department of Pediatrics.

Christian Vercler (C)

Center for Bioethics and Social Sciences in Medicine.
Department of Surgery, University of Michigan, Ann Arbor, Michigan; and.

Bryanna Moore (B)

Children's Mercy Bioethics Center, Children's Mercy Hospital, Kansas City, Missouri.

John D Lantos (JD)

Children's Mercy Bioethics Center, Children's Mercy Hospital, Kansas City, Missouri.

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