Rholl Erin L, Baughman Katie R, Leuthner Steven R
Division of Hospital Medicine, PANDA Palliative Care Team, Children's National Medical Center, 111 Michigan Avenue, Washington, DC 20010, USA.
Department of Pediatrics, Children's Wisconsin, Medical College of Wisconsin, 8915 W. Connell Court, Milwaukee, WI 53226, USA.
Clin Perinatol. 2022 Mar;49(1):127-135. doi: 10.1016/j.clp.2021.11.006. Epub 2022 Jan 21.
In cases whereby the continuation of life-sustaining medical therapies is not in the infant's best interest and does not align with the parents' goals, it is ethically and morally advisable to withhold/withdraw life-sustaining medical therapies. Withdrawing/withholding artificial nutrition hydration is not morally or ethically different from other medical treatments. Determination of what and when to withdraw should occur through shared decision-making considering the parents' values and the infant's physiology and comfort. The practice of physician recommendations followed by parental informed nondissent should be considered in these instances.
在维持生命的医学治疗的延续不符合婴儿的最大利益且与父母的目标不一致的情况下，从伦理和道德角度考虑，停止/撤销维持生命的医学治疗是可取的。停止/撤销人工营养补液在道德和伦理上与其他医学治疗并无不同。关于停止什么治疗以及何时停止的决定，应通过考虑父母的价值观、婴儿的生理状况和舒适度的共同决策来做出。在这些情况下，应考虑遵循医生建议并随后获得父母知情不反对的做法。
