The culture of dysthanasia: Attempting CPR in terminally III children

Pediatrics

Volumn 131, Issue 3, 2013, Pages 572-580

  Clark, Jonna D ^a,b,c   Dudzinski, Denise M ^b  

^a Pediatric Critical Care Medicine   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^c SEATTLE CHILDREN S HOSPITAL   (United States)

Author keywords

Advance directives; Assent; Bioethics; Cardiopulmonary resuscitation; Clinical ethics; Comfort care; Do not attempt resuscitation orders; Do not resuscitate orders; End of life care; Ethics; Forgoing treatment; Informed consent; Medical decision making; Medical futility; Palliative care; Parent child relationship; Terminal care; Withholding treatment

Indexed keywords

ADAMS OLIVER SYNDROME; ARTICLE; ARTIFICIAL VENTILATION; CASE REPORT; CHILD PARENT RELATION; DYSTHANASIA; FAILURE TO THRIVE; FIBROSARCOMA; HEART CATHETERIZATION; HOSPITALIZATION; HUMAN; INFANT; INTENSIVE CARE UNIT; LUNG HEMORRHAGE; MALE; MEDICAL DECISION MAKING; PALLIATIVE THERAPY; PARENTAL BEHAVIOR; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PULMONARY HYPERTENSION; RESPIRATORY FAILURE; RESUSCITATION; TERMINAL CARE; TERMINAL DISEASE;

EID: 84874624748     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2012-0393     Document Type: Article

References (73)

1. Blinderman CD, Krakauer EL, Solomon MZ. Time to revise the approach to determining cardiopulmonary resuscitation status. JAMA. 2012;307(9):917-918
2. Bishop JP, Brothers KB, Perry JE, Ahmad A. Reviving the conversation around CPR/DNR. Am J Bioeth. 2010;10(1):61-67
3. Lamas D, Rosenbaum L. Freedom from the tyranny of choice-teaching the end-of-life conversation. N Engl J Med. 2012;366(18): 1655-1657
4. Nelson LJ, Nelson RM. Ethics and the provision of futile, harmful, or burdensome treatment to children. Crit Care Med. 1992;20(3):427-433
5. Paris JJ, Angelos P, Schreiber MD. Does compassion for a family justify providing futile CPR? J Perinatol. 2010;30(12):770-772
6. Sorta-Bilajac I, Pessini L, Dobrila-Dintinjana R, Hozo I. Dysthanasia: the (il)legitimacy of artificially posponed death. Med Arh. 2005;59(3):199-202
7. Truog RD. Is it always wrong to perform futile CPR? N Engl J Med. 2010;362(6):477-479
8. Curtis JR, Burt RA. Point: the ethics of unilateral "do not resuscitate" orders: the role of "informed assent". Chest. 2007;132 (3):748-751, discussion 755-756
9. Kon AA. Informed non-dissent: a better option than slow codes when families cannot bear to say "let her die". Am J Bioeth. 2011;11(11):22-23
10. Kon AA. Informed nondissent rather than informed assent. Chest. 2008;133(1):320-321, author reply 321
11. Campbell ML. Only one thing you can do when they're "all dead." J Palliat Med. 2011;14(6):678
12. Feudtner C. Collaborative communication in pediatric palliative care: a foundation for problem-solving and decision-making. Pediatr Clin North Am. 2007;54(5):583-607
13. Klick JC, Hauer J. Pediatric palliative care. Curr Probl Pediatr Adolesc Health Care. 2010;40(6):120-151
14. Quill TE, Arnold R, Back AL. Discussing treatment preferences with patients who want "everything". Ann Intern Med. 2009;151(5):345-349
15. Quill TE, Holloway RG. Evidence, preferences, recommendations-finding the right balance in patient care. N Engl J Med. 2012;366 (18):1653-1655
16. Truog RD. Do-not-resuscitate orders in evolution: matching medical interventions with patient goals. Crit Care Med. 2011;39 (5):1213-1214
17. Luce JM, Rubenfeld GD. Can health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit Care Med. 2002;165(6):750-754
18. American Heart Association. Standards for cardiopulmonary resuscitation (CPR) and emergency cardiac care (ECC). V. Medicolegal considerations and recommendations. JAMA. 1974;227(7):864-868
19. Burns JP, Edwards J, Johnson J, Cassem NH, Truog RD. Do-not-resuscitate order after 25 years. Crit Care Med. 2003;31(5): 1543-1550
20. Rabkin MT, Gillerman G, Rice NR. Orders not to resuscitate. N Engl J Med. 1976;295(7): 364-366
21. Greenberg HB. Cardiac arrest in 20 infants and children: causes and results of resuscitation. Dis Chest. 1965;47:42-46
22. Pilapil VR. Cardiopulmonary resuscitation in the pediatric patient. Mil Med. 1969;134 (13):1510-1515
23. Symmers WS Sr. Not allowed to die. BMJ. 1968;1(5589):442
24. Ross L. The Child as Patient in Children, Families, and Health Care Decision Making. New York: Oxford University Press; 2004:131-151
25. Frader J, Kodish E, Lantos JD. Ethics rounds. Symbolic resuscitation, medical futility, and parental rights. Pediatrics. 2010;126(4):769-772
26. Kolata G. Murky path in deciding on care at the end. New York Times. February 22, 2010:D5
27. Paris JJ, Moore MP. The resuscitation of "slow codes": fraud, lies, and deception. Am J Bioeth. 2011;11(11):13-14
28. Meyer EC, Ritholz MD, Burns JP, Truog RD. Improving the quality of end-of-life care in the pediatric intensive care unit: parents' priorities and recommendations. Pediatrics. 2006;117(3):649-657
29. Burns JP, Truog RD. Futility: a concept in evolution. Chest. 2007;132(6):1987-1993
30. Cantor MD, Braddock CH III, Derse AR, et al; Veterans Health Administration National Ethics Committee. Do-not-resuscitate orders and medical futility. Arch Intern Med. 2003;163(22):2689-2694
31. Comment GE. The rise and fall of the futility movement. N Engl J Med. 2000;343(21): 1575-1577
32. Schneiderman LS, Jecker NJ. Wrong Medicine: Doctors, Patients, and Futile Medicine. Baltimore, MD: Johns Hopkins University Press; 2011
33. Post SG, ed. Medical futility. In: Encyclopedia of Bioethics. 3rd ed. New York: Thomson Gale; 2004:1720
34. Bell EF; American Academy of Pediatrics Committee on Fetus and Newborn. Noninitiation or withdrawal of intensive care for high-risk newborns. Pediatrics. 2007;119(2):401-403
35. Youngner SJ. Who defines futility? JAMA. 1988;260(14):2094-2095
36. Tomlinson T, Brody H. Futility and the ethics of resuscitation. JAMA. 1990;264(10):1276-1280
37. In re Jane Doe, 418 S.E.2d 3, 7 (Ga. 1992)
38. In re K.I., 735 A.2d 448, 460 (D.C. 1999)
39. In re Matthew W., 903 A.2d 333, 337 (Me. 2006)
40. Althabe M, Cardigni G, Vassallo JC, et al. Dying in the intensive care unit: collaborative multicenter study about forgoing lifesustaining treatment in Argentine pediatric intensive care units. Pediatr Crit Care Med. 2003;4(2):164-169
41. Committee on School Health and Committee on Bioethics. American Academy of Pediatrics. Do not resuscitate orders in schools. Pediatrics. 2000;105(4 pt 1):878-879
42. American Academy of Pediatrics, Committee on Bioethics. American Academy of Pediatrics Committee on Bioethics: guidelines on foregoing life-sustaining medical treatment. Pediatrics. 1994;93(3):532-536
43. American Academy of Pediatrics Committee on Bioethics. Ethics and the care of critically ill infants and children. Pediatrics. 1996;98(1):149-152
44. Baker JN, Rai S, Liu W, et al. Race does not influence do-not-resuscitate status or the number or timing of end-of-life care discussions at a pediatric oncology referral center. J Palliat Med. 2009;12(1):71-76
45. Burns J, Mitchell C. Advance directives and DNR orders. In: Diekema D, Mercurio M, Adam M, eds. Clinical Ethics in Pediatrics: A Case-Based Textbook. Boston, MA: Cambridge University Press; 2011:112-117
46. da Costa DE, Ghazal H, Al Khusaiby S. Do not resuscitate orders and ethical decisions in a neonatal intensive care unit in a Muslim community. Arch Dis Child Fetal Neonatal Ed. 2002;86(2):F115-F119
47. Garros D, Rosychuk RJ, Cox PN. Circumstances surrounding end of life in a pediatric intensive care unit. Pediatrics. 2003;112(5). Available at: www.pediatrics.org/cgi/content/full/112/5/e371
48. Jaing T-H, Tsay P-K, Fang E-C, et al. "Do-notresuscitate" orders in patients with cancer at a children's hospital in Taiwan. J Med Ethics. 2007;33(4):194-196
49. Lantos JD, Berger AC, Zucker AR. Do-notresuscitate orders in a children's hospital. Crit Care Med. 1993;21(1):52-55
50. McCallum DE, Byrne P, Bruera E. How children die in hospital. J Pain Symptom Manage. 2000;20(6):417-423
51. Mink RB, Pollack MM. Resuscitation and withdrawal of therapy in pediatric intensive care. Pediatrics. 1992;89(5):961-963
52. Moore P, Kerridge I, Gillis J, Jacobe S, Isaacs D. Withdrawal and limitation of lifesustaining treatments in a paediatric intensive care unit and review of the literature. J Paediatr Child Health. 2008;44(7-8):404-408
53. Postovsky S, Levenzon A, Ofir R, et al. 'Do Not Resuscitate' orders among children with solid tumors at the end of life. Ped Hematology and Oncology. 2004;21:661-668
54. van der Wal ME, Renfurm LN, van Vught AJ, Gemke RJ. Circumstances of dying in hospitalized children. Eur J Pediatr. 1999;158 (7):560-565
55. Nadkarni VM, Larkin GL, Peberdy MA, et al; National Registry of Cardiopulmonary Resuscitation Investigators. First documented rhythm and clinical outcome from inhospital cardiac arrest among children and adults. JAMA. 2006;295(1):50-57
56. Moler FW, Meert K, Donaldson AE, et al; Pediatric Emergency Care Applied Research Network. In-hospital versus out-of-hospital pediatric cardiac arrest: a multicenter cohort study. Crit Care Med. 2009;37(7):2259-2267
57. Topjian AA, Berg RA, Nadkarni VM. Pediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes. Pediatrics. 2008;122(5):1086-1098
58. Young KD, Gausche-Hill M, McClung CD, Lewis RJ. A prospective, population-based study of the epidemiology and outcome of out-of-hospital pediatric cardiopulmonary arrest. Pediatrics. 2004;114(1):157-164
59. Meert KL, Thurston CS, Sarnaik AP. End-oflife decision-making and satisfaction with care: parental perspectives. Pediatr Crit Care Med. 2000;1(2):179-185
60. Michelson KN, Koogler T, Sullivan C, Ortega MP, Hall E, Frader J. Parental views on withdrawing life-sustaining therapies in critically ill children. Arch Pediatr Adolesc Med. 2009;163(11):986-992
61. Sharman M, Meert KL, Sarnaik AP. What influences parents' decisions to limit or withdraw life support? Pediatr Crit Care Med. 2005;6(5):513-518
62. Blackhall LJ, Murphy ST, Frank G, Michel V, Azen S. Ethnicity and attitudes toward patient autonomy. JAMA. 1995;274(10):820-825
63. Clark JD, Dudzinski DM. The false dichotomy: do "everything" or give up. Am J Bioeth. 2011;11(11):26-27
64. Blackhall LJ. Must we always use CPR? N Engl J Med. 1987;317(20):1281- 1285
65. Wiegand D. In their own time: the family experience during the process of withdrawal of life-sustaining therapy. J Palliat Med. 2008;11(8):1115-1121
66. Meyer EC, Burns JP, Griffith JL, Truog RD. Parental perspectives on end-of-life care in the pediatric intensive care unit. Crit Care Med. 2002;30(1):226-231
67. Nelson HL. What child is this? Hastings Cent Rep. 2002;32(6):29-38
68. Truog RD, Meyer EC, Burns JP. Toward interventions to improve end-of-life care in the pediatric intensive care unit. Crit Care Med. 2006;34(11 suppl):S373-S379
69. Forman V. This Lovely Life. New York: Mariner Books; 2009
70. Schneiderman LJ, Jecker NS, Jonsen AR. Medical futility: its meaning and ethical implications. Ann Intern Med. 1990;112(12): 949-954
71. Diekema DS. Parental refusals of medical treatment: the harm principle as threshold for state intervention. Theor Med Bioeth. 2004;25(4):243-264
72. Hardart GE, Truog RD. Attitudes and preferences of intensivists regarding the role of family interests in medical decision making for incompetent patients. Crit Care Med. 2003;31(7):1895-1900
73. Glyn-Pickett J. Dialogue, death, and life choices: a parent's perspective. Arch Dis Child. 2005;90(12):1314-1315