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American Academy of Pediatrics
Ethics Rounds

Disagreement About Surgical Intervention in Trisomy 18

Michael Kochan, Eunsung Cho, Mark Mercurio, Megan Greco, Anne M. Savarese and Alison Falck
Pediatrics January 2021, 147 (1) e2020010686; DOI: https://doi.org/10.1542/peds.2020-010686
Michael Kochan
aDepartment of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, Maryland;
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Eunsung Cho
bDepartment of Pediatrics, School of Medicine, University of Maryland, Baltimore, Maryland;
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Mark Mercurio
cProgram for Biomedical Ethics, Department of Pediatrics, School of Medicine, Yale University, New Haven, Connecticut; and
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Megan Greco
dMegan Greco Physical Therapy, Ellicott City, Maryland
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Anne M. Savarese
bDepartment of Pediatrics, School of Medicine, University of Maryland, Baltimore, Maryland;
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Alison Falck
bDepartment of Pediatrics, School of Medicine, University of Maryland, Baltimore, Maryland;
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Abstract

In this case, we explore physician conflict with performing surgery (tracheostomy) for long-term ventilation in a term infant with trisomy 18 and respiratory failure. Experts in neonatal-perinatal medicine, pediatric bioethics, and pediatric palliative care have provided comments on this case. An additional commentary was written by the parent of another infant with trisomy 18, who is also a medical provider (physical therapist).

  • Accepted October 23, 2020.
  • Copyright © 2021 by the American Academy of Pediatrics

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Pediatrics
Vol. 147, Issue 1
1 Jan 2021
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Disagreement About Surgical Intervention in Trisomy 18
Michael Kochan, Eunsung Cho, Mark Mercurio, Megan Greco, Anne M. Savarese, Alison Falck
Pediatrics Jan 2021, 147 (1) e2020010686; DOI: 10.1542/peds.2020-010686

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Disagreement About Surgical Intervention in Trisomy 18
Michael Kochan, Eunsung Cho, Mark Mercurio, Megan Greco, Anne M. Savarese, Alison Falck
Pediatrics Jan 2021, 147 (1) e2020010686; DOI: 10.1542/peds.2020-010686
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  • What Should an Intern Do When She Disagrees With the Attending?
  • Opioid Management in the Dying Child With Addiction
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