Author/Editor		Primožič, J
Title		Etične odločitve pri kritično bolnem otroku
Translated title		Ethical decisions in the critically ill child
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 5, št. Suppl 2
Publication year		1998
Volume		str. 17-21
Language		slo
Abstract		The author deals with ethical decisions in children treated in the pediatric intensive care unit (PICU). He discusses the indications for sending children to the PICU, particularly when their condition is hopeless. The referring pediatrician shares the responsibility for the outcome of treatment equally with the pediatric intensivist. In the author's view the PICU can not be the place for dying or depositing hopeless cases. Determination of hopeless condition or terminal disease should be based on clinical experience rather than screening systems. He perlustrates ethical dilemmas in withholding and withdrawing of treatment and advocates the necessity of continuous education of medical and nursing personnel in how to approach the parents and relatives of critically ill children in the PICU.
Summary		Avtor obravnava etične odločitve pri otrocih, zdravljenih v enoti za intenzivno terapijo (EIT). Razpravlja o indikacijah za sprejem v EIT, kadar gre za brezupno bolne, in govori o deljeni odgovornosti za izid zdravljenja med pediatrom, ki otroka pošilja v EIT, in onim, ki ga zdravi, EIT ne more biti mesto za umiranje in zbirališče brezupno bolnih. Pri presojanju brezupnosti bolezni postavlja na prvo mesto klinično znanje in izkušnje pediatra-intenzivista pred različnimi načini. Obravnava etične poglede na opustitev oživljanja ter drugih ukrepov zdravljenja. Poudarja vlogo staršev in pomen pravilnega informiranja ter odnosa do njih. Zavzema se za stalno vzgojo zdravstvenega osebja.
Descriptors		CRITICAL ILLNESS INTENSIVE CARE UNITS, PEDIATRIC ETHICS, MEDICAL REFUSAL TO TREAT CHILD RESUSCITATION