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Berger, A; Kiechl-Kohlendorfer, U; Berger, J; Dilch, A; Kletecka-Pulker, M; Urlesberger, B; Wald, M; Weissensteiner, M; Salzer, H.
Update: Management of premature infants at the border of viability. Updated joint guidelines of the working group for neonatology and pediatric intensive care medicine of the Austrian Society of Pediatrics and Adolescent Medicine (OGKJ), the working group on ethics in pediatrics and adolescent medicine of the OGKJ and the Institute for Ethics and Law in Medicine at the University of Vienna (IERM)
MONATSSCHR KINDERH. 2019; 167(1): 36-44.
Doi: 10.1007/s00112-018-0532-0
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- Co-authors Med Uni Graz
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Urlesberger Berndt
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- Abstract:
- The enormous progress in neonatal intensive care during the last decades has enabled the survival of extremely premature infants. This success is at times associated with considerable long-term morbidity of these patients, potentially causing significant suffering and distress for the child and the family. The current manuscript presents an update of the Austrian national guidelines for the management of extremely premature infants at the limits of viability published in 2005. Rather than being strict guidelines, this manuscript is intended to provide caregivers with consensus practice recommendations to facilitate responsible decision-making in individual cases at the border of viability. Ethical, medical and legal aspects are discussed and an individual recommendation for the postnatal management of extremely premature infants born at 22+0 - 24+6 weeks gestational age is given.
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Extremely premature infant
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Border of viability
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Postnatal management
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Ethical decision making
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National guidelines Austria