Paediatr Child Health. 2011 Apr;16(4):241-4. doi: 10.1093/pch/16.4.241.
Paediatrics & child health
[Article in French] E Tsai
PMID: 22468129 PMCID: PMC3076180 DOI: 10.1093/pch/16.4.241
Although the practice of withholding and withdrawing artificial nutrition and hydration (ANH) has become more common, it remains controversial, particularly in the paediatric setting. Decisions regarding ANH, along with other medical interventions, should be considered in the individual context of the child's overall plan of care. The purpose of the present practice point is to provide guidance for Canadian paediatric health care practitioners regarding when withholding or withdrawing ANH may be an ethically permissible option as part of a palliative care plan and to briefly address some pragmatic considerations.
Keywords: Artificial nutrition and hydration; Ethics; Paediatric end-of-life care; Palliative care