Bétrémieux P, Gold F, Parat S, Caeymaex L, Danan C, De Dreuzy P, Vernier D, Viallard M-L, Kuhn P
Unité de réanimation pédiatrique, hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35203 Rennes cedex 2, France.
Arch Pediatr. 2010 Apr;17(4):409-12. doi: 10.1016/j.arcped.2010.01.018. Epub 2010 Mar 4.
In France, the law dated 22 April 2005 required that all practitioners offer palliative care to patients as an alternative to unreasonable obstinacy. The practical development of palliative care during the neonatal period is not easy, even though obstetricians and neonatologists have always been aware of the ethical necessity of comfort in the dying newborn. The decision leading to palliative care begins with the recognition of patent or potential unreasonable obstinacy, followed by withdrawing treatment and technical support, and finally a palliative care plan is drawn up with the medical team and the parents.
在法国,2005年4月22日的法律要求所有从业者为患者提供姑息治疗,以替代不合理的固执行为。尽管产科医生和新生儿科医生一直都意识到为濒死新生儿提供舒适护理的伦理必要性,但新生儿期姑息治疗的实际开展并不容易。导致姑息治疗的决定始于认识到明显的或潜在的不合理固执行为,随后停止治疗和技术支持,最后与医疗团队和患儿父母共同制定姑息治疗计划。