Réanimation et soins continus pédiatriques, hôpital Jeanne-de-Flandre, ERER des Hauts-de-France, CHU de Lille, 59037 Lille, France.
Réanimation pédiatrique, hôpital Necker-Enfants-malades, 149, rue de Sèvres, 75015 Paris, France.
Arch Pediatr. 2021 May;28(4):325-337. doi: 10.1016/j.arcped.2021.03.004. Epub 2021 Apr 16.
In 2005, the French-speaking task force on pediatric critical and emergency care [Groupe Francophone de Réanimation et d'Urgences Pédiatriques (GFRUP)] issued recommendations on withholding and withdrawing treatments in pediatric critical care. Since then, the French Public Health Code, modified by the laws passed in 2005 and 2016 and by their enactment decrees, has established a legal framework for practice. Now, 15 years later, an update of these recommendations was needed to factor in the experience acquired by healthcare teams, new questions raised by practice surveys, the recommendations issued in the interval, the changes in legislation, and a few legal precedents. The objective of this article is to help pediatric critical care teams find the closest possible compromise between the ethical principles guiding the care offered to the child and the family and compliance with current regulations and laws.
2005 年，法语儿科危重症和急救治疗工作组[Groupe Francophone de Réanimation et d'Urgences Pédiatriques (GFRUP)]发布了关于在儿科重症监护中停止和终止治疗的建议。自那时以来，经过 2005 年和 2016 年的法律修订以及颁布法令，法国公共卫生法规为实践制定了法律框架。现在，15 年过去了，需要对这些建议进行更新，以考虑到医疗团队获得的经验、实践调查提出的新问题、在此期间发布的建议、立法的变化以及一些法律先例。本文的目的是帮助儿科重症监护团队在为儿童和家庭提供的护理所遵循的伦理原则与遵守现行法规和法律之间找到尽可能接近的妥协。
