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Where's the Evidence?Debates in Modern Medicine$
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William A. Silverman

Print publication date: 1999

Print ISBN-13: 9780192630889

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780192630889.001.0001

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Resolution of insoluble dilemmas

Resolution of insoluble dilemmas

(p.140) 33 Resolution of insoluble dilemmas
Where's the Evidence?

William A. Silverman

Oxford University Press

This chapter presents a 1995 commentary on the dilemmas arising from the birth of marginally-viable newborn infants. It considers the ‘positive programme’ (obligatory initial life support) which reflects the view that a ‘neutral’ approach (comfort-care-only request by some parents in borderline situations) is extremely dangerous. It argues that there is a need for updated estimates of the size of the purported risk of increase central nervous system damage in marginally viable infant survivors who are not resuscitated aggressively.

Keywords:   medical care, medical practice, neonatal care, infant care

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