The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence”
Reports focusing on biomedical principlism and the role of anaesthesiologists in palliative care are rare. We present the case of a newborn with multiple craniofacial anomalies and a diagnosis of ADAM “sequence,” in which surgical removal of placental adhesions to the dura mater and the correction o...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2017/6230923 |
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| author | Alberto Vieira Pantoja Maria Emília Gonçalves Estevez Bruno Lima Pessoa Fernando de Paiva Araújo Bruno Mendonça Barcellos Ciro Augusto Floriani Marco Antonio Cardoso de Resende |
| author_facet | Alberto Vieira Pantoja Maria Emília Gonçalves Estevez Bruno Lima Pessoa Fernando de Paiva Araújo Bruno Mendonça Barcellos Ciro Augusto Floriani Marco Antonio Cardoso de Resende |
| author_sort | Alberto Vieira Pantoja |
| collection | DOAJ |
| description | Reports focusing on biomedical principlism and the role of anaesthesiologists in palliative care are rare. We present the case of a newborn with multiple craniofacial anomalies and a diagnosis of ADAM “sequence,” in which surgical removal of placental adhesions to the dura mater and the correction of meningocele was not indicated due to the very short life expectancy. After 48 hours, the odor from the placenta indicted a necrotic process, which prevented the parents from being close to the child and increased his isolation. Urgent surgery was performed, after which the newborn was transported to the ICU and intubated under controlled mechanical ventilation. The patient died a week later. The principles of beneficence, nonmaleficence, justice, and respect for autonomy are simultaneously an inspiratory and regulatory framework for clinical practice. Although only necessary procedures are defended, which suggests a position contrary to invasive interventions at the end of life, sometimes they are the best palliative measures that can be taken in cases like the one described here. |
| format | Article |
| id | doaj-art-22c7897699254944924cb21e23dd2600 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-22c7897699254944924cb21e23dd26002025-02-03T01:02:34ZengWileyCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/62309236230923The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence”Alberto Vieira Pantoja0Maria Emília Gonçalves Estevez1Bruno Lima Pessoa2Fernando de Paiva Araújo3Bruno Mendonça Barcellos4Ciro Augusto Floriani5Marco Antonio Cardoso de Resende6Fluminense Federal University (UFF), Niteroi, RJ, BrazilNational Institute of Traumatology and Orthopaedics (INTO), Rio de Janeiro, RJ, BrazilFluminense Federal University (UFF), Niteroi, RJ, BrazilMonte Sinai Hospital, Juiz de Fora, MG, BrazilFluminense Federal University (UFF), Niteroi, RJ, BrazilNational School of Public Health of the Osvaldo Cruz Foundation (ENSP-FOC), Rio de Janeiro, RJ, BrazilFluminense Federal University (UFF), Niteroi, RJ, BrazilReports focusing on biomedical principlism and the role of anaesthesiologists in palliative care are rare. We present the case of a newborn with multiple craniofacial anomalies and a diagnosis of ADAM “sequence,” in which surgical removal of placental adhesions to the dura mater and the correction of meningocele was not indicated due to the very short life expectancy. After 48 hours, the odor from the placenta indicted a necrotic process, which prevented the parents from being close to the child and increased his isolation. Urgent surgery was performed, after which the newborn was transported to the ICU and intubated under controlled mechanical ventilation. The patient died a week later. The principles of beneficence, nonmaleficence, justice, and respect for autonomy are simultaneously an inspiratory and regulatory framework for clinical practice. Although only necessary procedures are defended, which suggests a position contrary to invasive interventions at the end of life, sometimes they are the best palliative measures that can be taken in cases like the one described here.http://dx.doi.org/10.1155/2017/6230923 |
| spellingShingle | Alberto Vieira Pantoja Maria Emília Gonçalves Estevez Bruno Lima Pessoa Fernando de Paiva Araújo Bruno Mendonça Barcellos Ciro Augusto Floriani Marco Antonio Cardoso de Resende The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence” Case Reports in Anesthesiology |
| title | The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence” |
| title_full | The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence” |
| title_fullStr | The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence” |
| title_full_unstemmed | The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence” |
| title_short | The Anaesthesiologist and Palliative Care in a Newborn with the Adam “Sequence” |
| title_sort | anaesthesiologist and palliative care in a newborn with the adam sequence |
| url | http://dx.doi.org/10.1155/2017/6230923 |
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