Limitation of Life Support in the Pediatric Intensive Care Unit: A Bioethical Orientation
DOI:
https://doi.org/10.26871/killkanasocial.v7iEspecial.1229Keywords:
Defensa del Niño, Ética, Futilidad, No Intentar ResucitarAbstract
Medicine has had a scientific vanguard with valuable technological developments in pediatric intensive care units, however, these invasive and expensive treatments in children with life-limiting pathologies prolong death without major benefits. Therefore, the bioethical orientation towards the limitation of life support allows a dignified death in pediatric patients with irreversible diseases.
Therefore, a review of the existing interdisciplinary bibliography was prepared using the Prisma methodology with inclusion criteria: peer-reviewed scientific articles in English and Spanish, from January 1, 2018, to September 30, 2022, with the databases: Cochrane Library, Pubmed, ProQuest, Science Direct and Scopus with Keywords: "Child Advocacy", "Ethics", "Futility", "Do Not Attempt Resuscitation", "Decision Making". From which four relevant themes emerge: 1) futility; 2) suffering; 3) clinical criteria; and 4) best interests of the child, which together guide the limitation of life support in critical pediatric patients with life-limiting diseases from bioethics.
Key Words: Child Advocacy, Ethics, Medical Futility, Do Not Attempt Resuscitation, Decision Making.
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