Ethical considerations in neonatal respiratory care

Marcello Orzalesi, Marina Cuttini

Research output: Contribution to journalArticlepeer-review


Recent advances in neonatal care have greatly improved the chances for survival of very sick and/or very preterm neonates and have in fact changed the concept and the limits of viability. However, in some situations, when the infant's demise can only be postponed at the price of great suffering or when survival is associated with severe disabilities and an intolerable life for the patient and the parents, it may be unwise to employ the full armamentarium of modern neonatal intensive care. In those circumstances withholding or withdrawing mechanical ventilation and other life-saving, though invasive and painful, procedures might be a better option. This review examines the ethical principles underlying those difficult decisions, the most frequent circumstances where they should be considered, the role of parents and other parties in the decision-making process and the reported behavior of neonatologists in many American and European neonatal intensive care units.

Original languageEnglish
Pages (from-to)345-353
Number of pages9
JournalBiology of the Neonate
Issue number4
Publication statusPublished - 2005


  • Bioethics
  • Mechanical ventilation
  • Newborn
  • Palliative care
  • Resuscitation

ASJC Scopus subject areas

  • Developmental Biology
  • Pediatrics, Perinatology, and Child Health


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