PDF(Pubmed)
Abstract：
In Poland, guidelines for the management of ineffective treatment of children in neonatal and paediatric departments developed by the Polish Neonatal Society and the Polish Paediatric Society, have been published. The specific problems of futile therapy in paediatric anaesthesiology and intensive care units should be defined and solved separately. For this purpose, the guidelines presented below were prepared. They present the principles for managing children for whom therapeutic options available in paedia-tric anaesthesiology and intensive care units have been exhausted and ineffectiveness of maintaining organ functions, i.e. futile therapy, has been suspected. The decision to withdraw futile therapy of a child is undoubtedly one of the most difficult for both doctors and parents, and for this reason, it should be made collectively, respecting the dignity of the child and his/her parents or legal representatives, and continuing the management aimed at relieving the child\'s pain and suffering, as well as minimising anxiety and fear. Due to the small amount of reliable evidence-based data, the guidelines constitute the consensus of the Group of Experts and are dedicated to minor patients treated in paediatric anaesthesiology and intensive care units.
摘要：
在波兰,波兰新生儿学会和波兰儿科学会制定的新生儿和儿科无效治疗儿童管理指南，已经发表了。儿科麻醉科和重症监护病房无效治疗的具体问题应分别定义和解决。为此,编写了以下指南。他们提出了管理儿童的原则，这些儿童在麻醉和重症监护病房中可用的治疗选择已经用尽，并且维持器官功能无效，即徒劳的治疗，已被怀疑。对于医生和父母来说，撤销对孩子的徒劳治疗的决定无疑是最困难的决定之一，出于这个原因，它应该是集体的，尊重儿童及其父母或法定代表人的尊严，并继续管理旨在减轻孩子的痛苦和痛苦，以及尽量减少焦虑和恐惧。由于可靠的证据数据很少，该指南是专家组的共识，专门针对在儿科麻醉科和重症监护病房接受治疗的未成年人患者。
