Bioethics in the Pediatric ICU: Ethical Dilemmas Encountered in the Care of Critically Ill Children [Hardcover]

This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU). It supports pediatricians, nurses, residents, and other providers in their daily management of critically ill children with the dilemmas that arise. It begins by examining the evolution of pediatric critical care, and who is now impacted by this advancing medical technology. Subsequent chapters explore specific ethical concerns and controversies that are commonly encountered. These topics include how to conduct end-of-life discussions with families facing a myriad of challenging choices. It goes on to explore the concept of futility, and what that does and does not mean in the pediatric ICU setting.  Controversial subjects such as children as organ donors, particularly using donation after cardiac death, in addition to issues surrounding the declaration of brain death are covered. Additional chapters address resource allocation, and also analyze the use of long-term technology in chronically critically ill children.  Chapters include case examples with guidance on how to work through similar difficulties and decision-making.  While this book is specifically targeted for care providers at the ICU bedside, it is also of benefit to medical students, students in bioethics, practicing ethical consultants and families who are dealing with critically ill children.

1. Intro and overview of a clinical ethics framework for decisions in pediatric critical care.- 2. The epidemiology of life-threatening illness in childhood.- 3. End-of-life discussions in the PICU.- 4. Medical Futility.- 5. Children as Organ Donors.- 6. Controversies about Brain Death.- 7. Moral Distress.- 8. Resource allocation in the PICU.