Moore Gregory P, Daboval Thierry, Coughlin Kevin W
Department of Pediatrics, Division of Neonatology, Children's Hospital of Eastern Ontario;
Paediatr Child Health. 2011 Feb;16(2):87-90. doi: 10.1093/pch/16.2.87.
Neonatology, in large part due to its population of babies born at the edge of viability, is rife with bioethical issues. This unique population is at high risk of mortality and considerable neurodevelopmental morbidity. One contentious, ongoing debate concerns whether these extremely low birth weight infants born at the border of viability should, if required by the Neonatal Resuscitation Program guidelines, receive chest compressions and epinephrine as part of their delivery room resuscitation. The present article, through a case presentation and discussion based on the ethical framework of principlism, provides readers with a thoughtful approach to the controversial issue of the provision of chest compressions and epinephrine as part of resuscitation for extremely low birth weight infants born at the border of viability.
新生儿学，很大程度上由于其收治的是处于生存边缘出生的婴儿，充满了生物伦理问题。这一独特群体面临着高死亡率和相当高的神经发育疾病风险。一场持续存在的有争议的辩论涉及，对于这些在生存边缘出生的极低出生体重婴儿，如果根据新生儿复苏计划指南有需要，在产房复苏时是否应接受胸外按压和肾上腺素治疗。本文通过一个病例介绍，并基于原则主义的伦理框架进行讨论，为读者提供一种对有争议问题的深入思考方法，即对于在生存边缘出生的极低出生体重婴儿，在复苏时提供胸外按压和肾上腺素治疗的问题。
