{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:38:18Z","timestamp":1761061098829,"version":"3.41.2"},"reference-count":35,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:p>With increasing focus in the last decade on post\u2013cardiac arrest care in pediatrics, return of spontaneous circulation, survival rates, and neurologic outcome have improved. As part of this postarrest care, both the American Heart Association and the American Academy of Neurology state it is reasonable to consider targeted temperature management in pediatric comatose patients, although this care is challenging and time sensitive, with many gaps in knowledge remaining. Many pediatric patients will still not survive or will suffer severe neurocognitive impairment despite the therapeutic arsenal provided. Adult guidelines suggest providing postarrest supportive care and limiting prognosis discussions with families until after 72 hours of therapy, but pediatric clinicians are advised to consider a multitude of factors given the lack of data. What, then, should clinicians do if family members of a patient who has been resuscitated request the withdrawal of all life support in the 24 hours immediately postarrest? In this Ethics Rounds, we present such a case and the responses of different clinicians and bioethicists.<\/jats:p>","DOI":"10.1542\/peds.2019-4061","type":"journal-article","created":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T12:25:31Z","timestamp":1596111931000},"source":"Crossref","is-referenced-by-count":2,"title":["Controversy About Withdrawal of Postresuscitation Care After Cardiac Arrest"],"prefix":"10.1542","volume":"146","author":[{"given":"Kelly J.","family":"Gardner","sequence":"first","affiliation":[{"name":"Massachusetts General Hospital, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Murphy","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"Paris","sequence":"additional","affiliation":[{"name":"Boston College, Chestnut Hill, Massachusetts; 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"}]},{"given":"Brian M.","family":"Cummings","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2020,8,1]]},"reference":[{"issue":"18","key":"2021121013112685500_B1","doi-asserted-by":"crossref","first-page":"S526","DOI":"10.1161\/CIR.0000000000000266","article-title":"Part 12: Pediatric Advanced Life Support: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care","volume":"132","author":"de Caen","year":"2015","journal-title":"Circulation"},{"issue":"22","key":"2021121013112685500_B2","doi-asserted-by":"crossref","first-page":"2141","DOI":"10.1212\/WNL.0000000000003966","article-title":"Practice guideline summary: reducing brain injury following cardiopulmonary resuscitation: report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology","volume":"88","author":"Geocadin","year":"2017","journal-title":"Neurology"},{"issue":"6","key":"2021121013112685500_B3","doi-asserted-by":"crossref","first-page":"e194","DOI":"10.1161\/CIR.0000000000000697","article-title":"Pediatric post-cardiac arrest care: a scientific statement from the American Heart Association","volume":"140","author":"Topjian","year":"2019","journal-title":"Circulation"},{"issue":"18","key":"2021121013112685500_B4","first-page":"S465","article-title":"Part 8: post\u2013cardiac arrest care: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. 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