Chapter

<i>Resolution of insoluble dilemmas</i>

William A. Silverman

in Where's the Evidence?

Published in print April 1999 | ISBN: 9780192630889
Published online September 2009 | e-ISBN: 9780191723568 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192630889.003.0033
Resolution of insoluble dilemmas

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This chapter presents a 1995 commentary on the dilemmas arising from the birth of marginally-viable newborn infants. It considers the ‘positive programme’ (obligatory initial life support) which reflects the view that a ‘neutral’ approach (comfort-care-only request by some parents in borderline situations) is extremely dangerous. It argues that there is a need for updated estimates of the size of the purported risk of increase central nervous system damage in marginally viable infant survivors who are not resuscitated aggressively.

Keywords: medical care; medical practice; neonatal care; infant care

Chapter.  3729 words. 

Subjects: Public Health and Epidemiology

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