{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T10:49:00Z","timestamp":1758278940195,"version":"3.40.5"},"reference-count":4,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,11,1]]},"abstract":"<jats:p>One of the most difficult decisions that doctors and parents must make is the decision to withdraw life-sustaining treatment. Doctors find it easier to withdraw treatments in situations where withdrawal will be rapidly fatal rather than in situations in which treatment withdrawal will lead to a prolonged dying process. Mechanical ventilation is usually such a treatment. Withdrawal of ventilation generally leads to the patient\u2019s rapid demise. Doctors may tell parents that death will occur quickly after a ventilator is withdrawn. But what happens when the doctors are wrong and a patient survives without life support? What should doctors do next? We present a case in which that happened and asked 3 experts to comment on the case. Stefan Kutzsche is a senior consultant in neonatology at Oslo University Hospital Ulleval in Norway. John Colin Partridge is a neonatologist and professor of pediatrics at University of California, San Francisco. Steven R. Leuthner is a neonatologist and professor of pediatrics and bioethics at the Medical College of Wisconsin. They each recommend slightly different approaches to this dilemma.<\/jats:p>","DOI":"10.1542\/peds.2013-0413","type":"journal-article","created":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T01:10:17Z","timestamp":1381194617000},"page":"893-897","source":"Crossref","is-referenced-by-count":14,"title":["When Life-Sustaining Treatment Is Withdrawn and the Patient Doesn\u2019t Die"],"prefix":"10.1542","volume":"132","author":[{"given":"Stefan","family":"Kutzsche","sequence":"first","affiliation":[{"name":"Department of Neonatology, Oslo University Hospital Ulleval, Oslo, Norway;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Colin","family":"Partridge","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of California, San Francisco, San Francisco, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven R.","family":"Leuthner","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Bioethics, Medical College of Wisconsin, Milwaukee, Wisconsin; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Lantos","sequence":"additional","affiliation":[{"name":"Children\u2019s Mercy Hospital, Kansas City, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2013,11,1]]},"reference":[{"issue":"2","key":"2021120903015559800_B1","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/00005650-199602000-00002","article-title":"Why do physicians prefer to withdraw some forms of life support over others? Intrinsic attributes of life-sustaining treatments are associated with physicians\u2019 preferences.","volume":"34","author":"Asch","year":"1996","journal-title":"Med Care"},{"issue":"4","key":"2021120903015559800_B2","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1016\/j.clp.2012.09.013","article-title":"The mathematics of morality for neonatal resuscitation.","volume":"39","author":"Meadow","year":"2012","journal-title":"Clin Perinatol"},{"issue":"2","key":"2021120903015559800_B3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1111\/j.1467-8519.1996.tb00112.x","article-title":"Killing, letting die and the bare difference argument.","volume":"10","author":"Perrett","year":"1996","journal-title":"Bioethics"},{"issue":"4","key":"2021120903015559800_B4","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/BF02596199","article-title":"The uncertain lessons of the Quinlan case.","volume":"1","author":"Feinberg","year":"1986","journal-title":"J Gen Intern Med"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/132\/5\/893\/1098759\/peds_2013-0413.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/132\/5\/893\/1098759\/peds_2013-0413.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T15:58:15Z","timestamp":1639065495000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/132\/5\/893\/31688\/When-Life-Sustaining-Treatment-Is-Withdrawn-and"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,1]]},"references-count":4,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2013,11,1]]},"published-print":{"date-parts":[[2013,11,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2013-0413","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"type":"print","value":"0031-4005"},{"type":"electronic","value":"1098-4275"}],"subject":[],"published":{"date-parts":[[2013,11,1]]}}}