Tsai E
Paediatr Child Health. 2011 Apr;16(4):241-4. doi: 10.1093/pch/16.4.241.
Although the practice of withholding and withdrawing artificial nutrition and hydration (ANH) has become more common, it remains controversial, particularly in the paediatric setting. Decisions regarding ANH, along with other medical interventions, should be considered in the individual context of the child's overall plan of care. The purpose of the present practice point is to provide guidance for Canadian paediatric health care practitioners regarding when withholding or withdrawing ANH may be an ethically permissible option as part of a palliative care plan and to briefly address some pragmatic considerations.
尽管停止和撤销人工营养与水化治疗（ANH）的做法已变得更为常见，但它仍然存在争议，尤其是在儿科领域。关于ANH的决策，与其他医疗干预措施一样，应在儿童整体护理计划的个体背景下加以考虑。本实践要点的目的是为加拿大儿科医疗从业者提供指导，说明在何时停止或撤销ANH作为姑息治疗计划的一部分可能是符合伦理道德的选择，并简要探讨一些实际考虑因素。
