Bioethics at the bedside: considering the adolescent voice in withdrawal of life-sustaining therapy
Durable mechanical circulatory devices are commonly used to support children and adolescents in end-stage heart failure. However, these patients remain at high risk of acute medical complications, which may lead to significant impairment in functional capacity, altered quality of life, or death. We explore the incorporation of adolescent directives into medical decision-making in this scenario through a clinical case vignette.
Authors
- Áine Lynch (ORCID: https://orcid.org/0000-0002-4668-4941)
- Aamir Jeewa (ORCID: https://orcid.org/0000-0003-2878-6554)
- Christoph Haller (ORCID: https://orcid.org/0000-0002-9716-8197)
- Andrew Helmers (ORCID: https://orcid.org/0000-0002-2935-9522)
- Roxanne Kirsch (ORCID: https://orcid.org/0000-0002-4940-8256)
Institutions
- Morgan Stanley Children's Hospital (US)
- University of Toronto (CA)
- Columbia University Irving Medical Center (US)
- Hospital for Sick Children (CA)
Publication Details
- Journal
- Cardiology in the Young
- Published
- 2024-10-14
- DOI
- https://doi.org/10.1017/s1047951124026064
- Primary Topic
- Ethics and Legal Issues in Pediatric Healthcare
- Type
- article
- Field-Weighted Citation Impact
- 0.00