PDF-(DOWNLOAD)-Neonatal Bioethics: The Moral Challenges of Medical Innovation

Neonatal intensive care has been one of the most morally controversial areas of medicine during the past thirty years This study examines the interconnected development of four key aspects of neonatal intensive care medical advances ethical analysis legal scrutiny and econometric evaluationThe authors assert that a dramatic shift in societal attitudes toward newborns and their medical care was a stimulus for and then a result of developments in the medical care of newborns They divide their analysis into three eras of neonatal intensive care The first characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982 established neonatal care as a legitimate specialty of medical care separate from the rest of pediatrics and medicine During this era legal scholars and moral philosophers debated the relative importance of parental autonomy clinical prognosis and childrens rightsThe second era beginning with the Baby Doe case a legal battle that spurred legislation mandating that infants with debilitating birth defects be treated unless the attending physician deems efforts to prolong life futile stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of futility and of inhumane treatment In the third era a consistent set of decisionmaking criteria and policies was established These policies were the result of the synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal careTracing the fields recent history notable advances and considerable challenges yet to be faced the authors present neonatal bioethics as a paradigm of complex conversation among physicians philosophers policy makers judges and legislators which has led to responsible societal oversight of a controversial medical innovation. Shannon E. G. Hamrick, MD. . Assistant Professor . Divisions of Neonatology and Cardiology. Department of Pediatrics. Emory University. Disclosure. I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this CME activity.. How can we make our research count in academia and in practice. Wendy Rogers, CAVE, . Mq. . Uni. Catriona. Mackenzie, CAVE, . Mq. . Uni. Katrina Hutchison, CAVE, . Mq. . Uni. Ainsley Newson, VELIM, . James . Nuttall. Paediatric. Infectious Diseases Unit, . Red Cross War Memorial Children’s Hospital & University of Cape Town. Right to Care 6. th. Conference on Emerging Problems in . Paediatric. Programme Director in . Bioethics and Medical Law. St. Mary’s University College . What is ‘Ethics’?. Ethics is ‘the study and justification of conduct’. (Fraenkel 1977) . Morality is . the . Maria Proytcheva, MD. University of Arizona. Banner University Medical Center-Tucson, USA. Financial Disclosure. The author has no conflict of interest to disclose. Do the Current Practices of Developing Neonatal Reference Intervals Meet Clinical Need?. Ferris State University. Kelly . Geraghty. , Tracy James, Kristen . Lintjer. , . Sara . Potes. , . Rikki. . Zissler. PICO Question. “Are newborn infants with high neonatal abstinence syndrome scores (8 or above) more responsive when nurses treat them with pharmaceutical or non-pharmaceutical interventions?” . Presented by Camille Keenan, MS3 . & Matthew Covey, MS3. at Pediatric Neurology Grand Rounds. Friday, October 3, . 2014. Mentor: Ian J. Butler, MD. Chief complaint. Child 1. Full term African American female born with red and scaly butterfly rash. . Copyright Andrew Costandi, M.D., M.M.M. Children’s Hospital Los Angeles. Updated 1/2020. Disclosures. No relevant financial relationships. Learning Objectives:. Recognize the signs and symptoms of neonates in distress. . Elniema. Objectives. • . Definition of jaundice . • . Metabolism of . bilirubin. . • . Types of jaundice . • . Causes of neonatal jaundices . • . Management of neonatal jaundice. Definition . options, patient disposition, and differential diagnosis. . Adrienne DePorre, MD. Pediatric Hospitalist. Children’s Mercy Kansas City. What patients are we talking about?. Infants <29 days of life. CDHB. Overview. SURPRISES. Term Admissions. Near term admissions. Very preterm morbidity. Outcomes. Surprises. Lower admissions 2017/18 and occupancy 93%. 852 in 2018 . - . counted if stay over midnight. UNIT. Asst Prof . Sowmya. VR. DEFINITION. A neonatal intensive care unit is an intensive care unit specializing in the care of ill or premature infants.. NICU is a very specialized unit where critically ill neonates are cared to reduce the neonatal mortality and morbidity.. Infections are a frequent and important cause of neonatal and infant morbidity and mortality. As many as 2% of fetuses are infected in . utero. , and up to 10% of infants have infections in the 1st mo of life..