This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Verlato, G. Articles by Drigo, P. Search for Related Content PubMed PubMed Citation Articles by Verlato, G. Articles by Drigo, P. Pubmed/NCBI databases Medline Plus Health Information Premature Babies Social Bookmarking                         What's this?

Guidelines for Resuscitation in the Delivery Room of Extremely Preterm Infants

Departments of Paediatrics and Gynecological Sciences and Human Reproduction, University Hospital of Padua, Padua, Italy, verlato{at}pediatria.unipd.it.

Daniela Gobber, MD

Departments of Paediatrics and Gynecological Sciences and Human Reproduction, University Hospital of Padua, Padua, Italy

Donatella Drago, MD

Departments of Paediatrics and Gynecological Sciences and Human Reproduction, University Hospital of Padua, Padua, Italy

Lino Chiandetti, MD

Departments of Paediatrics and Gynecological Sciences and Human Reproduction, University Hospital of Padua, Padua, Italy

Paola Drigo, MD

Departments of Paediatrics and Gynecological Sciences and Human Reproduction, University Hospital of Padua, Padua, Italy

Ethical problems related to intensive care of extremely preterm newborns of 25 weeks' gestational age and at risk of disability have been extensively debated. The Bioethical Committee of the Department of Paediatrics of the University Hospital of Padua organized and started a multidisciplinary group to release guidelines to help staff facing problems related to prematurity. The vitality limit, survival, outcome, and ethical aspects were analyzed. Consequently, we suggest the following: at 22 weeks' gestational age, the deliverance of comfort care only; at 23 weeks, in the presence of detectable vital signs, the practice of immediate intubation, respiratory support, and a reassessment of the neonatal conditions; and at 24 weeks, the provision of intubation, ventilatory support, and cardiovascular resuscitation. If the clinical age and anamnestic gestational age are different, we proceed according to the more advanced one. The importance of providing parents with correct information and the role of comfort care are outlined. (J Child Neurol 2004;19:31—34).

Journal of Child Neurology, Vol. 19, No. 1, 31-34 (2004)
DOI: 10.1177/088307380401900106011


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				M C Samaan, M Cuttini, V Casotto, and C A Ryan Doctors' and nurses' attitudes towards neonatal ethical decision making in Ireland Arch. Dis. Child. Fetal Neonatal Ed., May 1, 2008; 93(3): F217 - F221. [Abstract] [Full Text] [PDF]