Ethical Challenges in Neonatal and Pediatric ICU

Complex ethical dilemmas frequently arise in neonatal and pediatric intensive care settings, where life-sustaining treatments intersect with questions of quality of life, prognosis, and parental authority. This session explores key ethical considerations including end-of-life decision-making, withholding or withdrawing care, allocation of limited resources, and managing parental conflicts with medical recommendations. Presenters will discuss real-world cases involving extremely premature infants, children with severe congenital anomalies, and patients with poor neurologic prognoses. The session will also highlight frameworks for shared decision-making, the role of hospital ethics committees, and strategies for culturally sensitive communication. Legal aspects and international differences in care practices will be explored to provide a global perspective. Neonatologists, pediatric intensivists, nurses, ethicists, and hospital administrators will gain valuable insights into navigating ethical complexity while upholding compassion, transparency, and patient-centered care in high-stakes environments.

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