ArticleThe American journal of bioethics : AJOB2020
Should Extremely Premature Babies Get Ventilators During the COVID-19 Crisis?
Article in The American journal of bioethics : AJOB, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The Pandemic Allocation of Ventilators Model Penalizes Infants with Bronchopulmonary Dysplasia.Children (Basel, Switzerland) · 2023Article
- What does the best interests principle of the convention on the rights of the child mean for paediatric healthcare?European journal of pediatrics · 2022Review
- Impact of COVID-19 disease on clinical research in pediatric and congenital cardiology.Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 2022Observational
- Extremely premature infants, scarcity and the COVID-19 pandemic.Acta paediatrica (Oslo, Norway : 1992) · 2021Article
- Using the COVID-19 as an excuse for unjustified devaluation of preterm infants.Acta paediatrica (Oslo, Norway : 1992) · 2021Article
- Beyond Ventilators and Prematurity: Most Rationing Dilemmas Are Morally Fraught.The American journal of bioethics : AJOB · 2020Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In a crisis, societal needs take precedence over a patient's best interests. Triage guidelines, however, differ on whether limited resources should focus on maximizing lives or life-years. Choosing between these two approaches has implications for neonatology. Neonatal units have ventilators, some adaptable for adults. This raises the question of whether, in crisis conditions, guidelines for treating extremely premature babies should be altered to free-up ventilators. Some adults who need ventilators will have a survival rate higher than some extremely premature babies. But surviving babies will likely live longer, maximizing life-years. Empiric evidence demonstrates that these babies can derive significant survival benefits from ventilation when compared to adults. When "triaging" or choosing between patients, justice demands fair guidelines. Premature babies do not deserve special consideration; they deserve equal consideration. Solidarity is crucial but must consider needs specific to patient populations and avoid biases against people with disabilities and extremely premature babies.
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