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Decisions in the Neo-natal Intensive Care Unit


November 9, 2018 

In this week’s New England Journal of Medicine, November 8, 2018, Vol. 379, No. 19, Page 1851, there is a detailed discussion of decision making for neo-natal babies in reference to hypoxic encephalopathy, degenerative neurologic diseases and even brain death. This article discusses ethical decisions in reference to when treatment is futile or should be withdrawn.

It further discusses disagreements between doctors and parents and family members as to the decision making. In this very sensitive issue, it discusses the information to be given to parents to make a final decision.  It also discusses focusing on shared decision making. While it is rare that attorneys become involved at this stage, it is a very important article discussing these very sensitive issues.

Richard A. Silver
Silver Golub & Teitell LLP