教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Case of 24-week Fetus Delivered from Mother on Life Support with Brain-death from Suicide Attempt: Ethical Issues Associated with Severe Complications. |
掲載誌名 | 正式名:Acta medica Okayama 2016 略 称:Acta Med Okayama ISSNコード:0386-300X(Print)0386-300X(Linking) |
掲載区分 | 国外 |
巻・号・頁 | 70(5),pp.389-392 |
著者・共著者 | Nishimura Takeshi, Kohama Keisuke, Osako Takaaki, Yamada Taihei, Tanaka Hiroyuki, Nakao Atsunori, Kotani Joji |
発行年月 | 2016/10 |
概要 | Advances in critical care medicine have made it possible to sustain vital organ systems in brain-dead patients. One clinical scenario besides donor organ retrieval in which a benefit may be gained from continuing life support is pregnancy. A pregnant woman in her late 30's at 23 weeks gestation exhibiting worsening depression was referred to the Department of Psychiatry. One day after admission she attempted suicide by hanging and suffered a cardiopulmonary arrest. A fetal heart beat and fetal motion was confirmed immediately after resuscitation. Three days after admission, an emergency Cesarean section (CS) was performed because of her unstable hemodynamic situation. The baby was born and the mother died after delivery. The baby presented neurological complications. Such a case should be managed collaboratively among professional experts in several medical teams. Consensus and recommendations for the management of similar scenarios may also be adjusted. |
PMID | 27777432 |