End-of-Life Decision-making in Neonatology - ENfOLDING

Klinikum der Universität München, Campus Großhadern0 个研究点目标入组 22 人开始时间: 2018年2月12日最近更新: 2024年8月19日

适应症

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•The target population includes all parents of patients for whom withholding or withdrawing intensive care is considered. Some of these patients are on mechanical ventilation and will die after respiratory support is withdrawn. Others are admitted to the NICU and develop such a poor prognosis that with parental agreement intensive care is confined to continuing mechanical ventilation and nutritional support but not escalate treatment for possible complications (redirecting care), for example in case of an additional pneumothorax or sepsis. Some of these children do not develop any of these complications and survive. All potential patients will be registered by weekly feedback from all consulting neonatologists.
•Furthermore, prenatal counseling conversations with parents expecting a baby for whom withholding intensive care or palliative care is considered, will be included as well. Eligible counseling conversations are those with parents of possible extreme prematures shortly before the threshold of viability (GA 21 0/7 – GA 22 6/7) and babies diagnosed with life threatening congenital malformations.

发起方

Klinikum der Universität München, Campus Großhadern