Limitación del soporte vital en la unidad de cuidados intensivos pediátricos: Una orientación bioética

Medicine has had a scientific vanguard with valuable technological developments in pediatric intensive care units, however, these invasive and expensive treatments in children with life-limiting pathologies prolong death without major benefits. Therefore, the bioethical orientation towards the limit...

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Autores principales: Freire Ochoa, Jennifer Andrea, Tipán Barros, Jonathan, Tipan, Tatiana
Formato: Artículo
Idioma:Castellano
Publicado: 2023
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Acceso en línea:https://dialnet.unirioja.es/servlet/oaiart?codigo=8966729
Fuente:Killkana sociales: Revista de Investigación Científica, ISSN 2528-8008, Vol. 7, 2023, pags. 3-18
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Sumario: Medicine has had a scientific vanguard with valuable technological developments in pediatric intensive care units, however, these invasive and expensive treatments in children with life-limiting pathologies prolong death without major benefits. Therefore, the bioethical orientation towards the limitation of life support allows a dignified death in pediatric patients with irreversible diseases. Therefore, a review of the existing interdisciplinary bibliography was prepared using the Prisma methodology with inclusion criteria: peer-reviewed scientific articles in English and Spanish, from January 1, 2018, to September 30, 2022, with the databases: Cochrane Library, Pubmed, ProQuest, Science Direct and Scopus with Keywords: "Child Advocacy", "Ethics", "Futility", "Do Not Attempt Resuscitation", "Decision Making". From which four relevant themes emerge: 1) futility; 2) suffering; 3) clinical criteria; and 4) best interests of the child, which together guide the limitation of life support in critical pediatric patients with life-limiting diseases from bioethics.   Key Words: Child Advocacy, Ethics, Medical Futility, Do Not Attempt Resuscitation, Decision Making.