Carter Brian S, Leuthner Steven R
Division of Neonatology, Department of Pediatrics, Vanderbilt University, Medical Center, Nashville, TN 37232-2370, USA.
Semin Perinatol. 2003 Dec;27(6):480-7. doi: 10.1053/j.semperi.2003.10.007.
The provision of nutrition and hydration to newborn infants is considered fundamental care. For premature and critically ill newborns, similar considerations generally hold true. Nutrition may be provided for these infants using assisted measures such as parenteral nutrition or tube feedings. However, for some newborn infants the provision of medically assisted nutrition may be a more complicated issue. In particular, the goals of nutrition need to be clearly elaborated for newborns with lethal conditions or for whom appropriately administered intensive care is unsuccessful in sustaining life. These infants may benefit from palliative measures of care and a limitation or withdrawal of burdensome or nonbeneficial interventions. This article explores issues pertinent to deciding and communicating the appropriate withdrawal of medically assisted nutrition and implementing palliative comfort measures.
为新生儿提供营养和水合作用被视为基本护理。对于早产儿和危重新生儿，类似的考量通常也适用。可以通过肠外营养或管饲等辅助措施为这些婴儿提供营养。然而，对于一些新生儿来说，提供医学辅助营养可能是一个更复杂的问题。特别是，对于患有致命疾病或在接受适当的重症监护后仍无法维持生命的新生儿，需要明确阐述营养目标。这些婴儿可能会从姑息性护理措施以及限制或停止繁重或无益处的干预措施中受益。本文探讨了在决定和传达适当停止医学辅助营养以及实施姑息性舒适措施方面的相关问题。
