Selective resuscitation in premature twins: an ethical analysis

Ethical issues of resuscitation: an American perspective.

Challenging issues confront emergency physicians routinely when performing cardiopulmonary resuscitation. Ethical issues surrounding resuscitation may include issues of futility, withholding or withdrawing interventions, advance directives, family presence, practising procedures on the newly dead, palliative care, and communication. Principles of bioethics can be valuable in assessing and debat...

Ethical Analysis of Medical Futility in Cardiopulmonary Resuscitation

Cardiopulmonary Resuscitation (CPR) is a life-saving intervention in emergency medical care practiced globally for the last more than seven decades. It cannot be a solution to prevent every death and there are risks associated with this intervention. This article focuses on the ethical dilemmas related to the decisions of medical futility in cardiopulmonary resuscitation particularly in emergen...

Selective nontreatment of defective newborns: an ethical analysis.

Growth and development in premature twins.

A total of 476 infants (386 singletons and 90 twins) born before 32 weeks' gestation were studied to compare long term growth and development in twins and singletons. At 18 months, after adjusting for confounding social, obstetric, and neonatal factors, twins were not disadvantaged in their neurodevelopmental status, but were 1.6 cm shorter than singletons and had thicker triceps and subscapula...

The Separation of Conjoined Twins – Ethical Dilemmas

The conjoined twins are those twins who have several body parts united, this situation being one of the most challenging malformations. Some pairs, depending on degree of conjunction, can be surgically separated. The way in which one should divide these organs between the two organisms is still a critical ethical issue, the decision being extremely difficult both for the family and for the medi...