Survival After Cardiopulmonary Resuscitation in Babies of Very Low Birth Weight. Is CPR Futile Therapy?
Lantos, John D.
Miles, Steven H.
Silverstein, Marc D.
Stocking, Carol B.
New England Journal of Medicine. 1988 Jan 14; 318(2): 91-95.
The authors analyze a retrospective study of the outcome of cardiopulmonary resuscitation (CPR) in 49 very low birth weight (less than 1500 g) newborns admitted to the neonatal intensive care unit of the University of Chicago Medical Center's Lying-In Hospital. All of the 38 infants who received CPR within 3 days of birth died. Four of the 11 who required CPR after the first 72 hours survived, with 3 of the 4 survivors showing residual neurologic deficits. The authors conclude that, if the results of their study are confirmed, CPR in very low birth weight newborns should be considered an unproved and virtually futile therapy that is not medically, ethically, or legally required. As experimental therapy, it could be used within guidelines for potentially life-saving experimental treatment with the parents' advance informed consent. (KIE abstract)
Allowing to Die; Birth Weight; Consent; Decision Making; Evaluation; Guidelines; Infants; Informed Consent; Life; Low Birth Weight; Morbidity; Mortality; Newborns; Parental Consent; Parents; Physicians; Prematurity; Prognosis; Research; Resource Allocation; Resuscitation; Resuscitation Orders; Risks and Benefits; Selection for Treatment; Statistics; Survey; Therapeutic Research; Withholding Treatment;
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