Boyle R J, McIntosh N
University of Virginia Health System, Charlottesville, VA, USA.
Semin Neonatol. 2001 Jun;6(3):261-9. doi: 10.1053/siny.2001.0054.
The recent publication of guidelines for ethical decision making for resuscitation of infants has highlighted the problems inherent in using the currently available data to define those situations in which resuscitation should be or might be withheld or withdrawn. Prior selection criteria for resuscitation, criteria for inclusion into the study group, incomplete resuscitation, gestational age determination, intrauterine growth restriction, subjective assessment of 'poor' outcome, and other factors make setting specific parameters for acting or not acting difficult, if not dangerous, and possibly impossible. Research in neonatal resuscitation poses some potential ethical obstacles, but national and international regulations and guidelines are available to assist investigators in study design.
近期发布的关于婴儿复苏伦理决策的指南，凸显了利用现有数据来界定哪些情况下应进行、可能不进行或停止复苏所固有的问题。先前的复苏选择标准、纳入研究组的标准、不完全复苏、胎龄确定、宫内生长受限、对“不良”结局的主观评估以及其他因素，使得设定行动或不行动的具体参数变得困难，甚至危险，甚至可能无法实现。新生儿复苏研究存在一些潜在的伦理障碍，但国家和国际法规及指南可协助研究人员进行研究设计。
