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• W2187702921 abstract "Controversy surrounding the decision to resuscitate at the limits or borderline of viability has been at the center of neonatal ethical debate for decades. This debate has led to numerous reports, from individual institutions, councils, and advisory committees, that all have remarkable consistency in the development of gestational age-based guidelines. The consensus based on outcome data has led to recommendations and common practice of two threshold levels of care: a lower threshold of no resuscitation (<22 weeks), and an upper threshold of obligatory resuscitation (25 weeks). The 22to 24-week range then becomes the gray zone. Although there are differing caveats among the guidelines regarding physician assessments or strength of recommendations from the ethical perspective, the gray zone has become the gestational age spectrum in which resuscitation is based on parental choice. The outer thresholds represent limits on parental authority to make a decision. The underlying goal in any of these guidelines is to limit overtreat and undertreat of the neonate, to support parents, yet rely on a best interest standard for the neonate. Decisions are centered on the dilemma that withholding resuscitation leads to certain death, yet resuscitation leads to an uncertain future with the possibilities ranging from death to" @default.
• W2187702921 created "2016-06-24" @default.
• W2187702921 creator A5084240957 @default.
• W2187702921 date "2014-01-01" @default.
• W2187702921 modified "2023-09-27" @default.
• W2187702921 title "Controversies in Caring for the Extremely Premature Infant" @default.
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