The ethical issues surrounding decisions to forgo
life-sustaining treatment are some of the most complicated and
controversial decisions in clinical medicine and clinical ethics.
There are many aspects to these decisions. We address some of them
here, and will be continuously adding to our website as new aspects
of these issues arise.
Some issues regarding forgoing life-sustaining treatment are
diagnosis specific. As an example, we discuss hypoplastic left
heart syndrome (HLHS) in some detail.
Premature babies, especially those close to the borderline of
vulnerability, raise a unique set of issues as well. We address
some of those issues separately.
We discuss the controversy surrounding the concept of medical
futility and the special issues raised by forgoing artificial
nutrition and hydration.
We also present a series of interviews with leading pediatric
clinicians - neonatologists, oncologists, intensivists, and
palliative care specialists - who give their views on how well the
system is working.
As always, we welcome your feedback.