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Table of contents

  1. Front Matter
    Pages i-vii
  2. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 1-4
  3. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 5-11
  4. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 13-28
  5. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 29-43
  6. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 45-68
  7. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 69-92
  8. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 93-109
  9. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 111-123
  10. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 125-145
  11. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 147-159
  12. Laura Miller-Smith, Ásdís Finnsdóttir Wagner, John D. Lantos
    Pages 161-164

About this book

Introduction

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.

Keywords

pediatric critical care pediatric bioethics end-of-life care moral distress ethical decision making PICU children as organ donors medical ethics bioethics and the child critical care medicine bioethics and humanities pediatric ethics

Authors and affiliations

  • Laura Miller-Smith
    • 1
  • Ásdís Finnsdóttir Wagner
    • 2
  • John D. Lantos
    • 3
  1. 1.Pediatric Critical Care Medicine, Children’s Mercy Hospital Department of PediatricsUniversity of Missouri-KansasKansas CityUSA
  2. 2.Pediatric Critical Care Medicine, Children’s Mercy Hospital Department of PediatricsUniversity of Missouri-KansasKansas CityUSA
  3. 3.Children’s Mercy Hospital Bioethics Center and Department of PediatricsUniversity of Missouri-KansasKansas CityUSA

Bibliographic information