title: An infant with trisomy 18 and a ventricular septal defect.
abstract: Decisions for critically ill infants with trisomy 18 raise thorny issues about values, futility, the burdens of treatment, cost-effectiveness, and justice. We presented the case of an infant with trisomy 18 to 2 neonatologists with experience in clinical ethics, Annie Janvier and Felix Okah, and to a parent, Barbara Farlow. They do not agree about the right thing to do.
authors.affiliation: Department of Pediatrics, University of Montreal, Montreal, Quebec, Canada.
authors.forename: Annie
authors.initials: A
authors.lastname: Janvier
authors.forename: Felix
authors.initials: F
authors.lastname: Okah
authors.forename: Barbara
authors.initials: B
authors.lastname: Farlow
authors.forename: John D
authors.initials: JD
authors.lastname: Lantos
mesh_terms: D000025:Abortion, Eugenic / Q000941:ethics; D002648:Child; D002675:Child, Preschool; D002887:Chromosomes, Human, Pair 18 / Q000235:genetics; D004992:Ethics, Medical; D005260:Female; D005817:Genetic Counseling / Q000941:ethics*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000235:genetics* / Q000401:mortality / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008020:Life Support Care / Q000941:ethics; D008297:Male; D010166:Palliative Care / Q000941:ethics*; D033282:Parental Consent / Q000941:ethics; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000941:ethics*; D011368:Professional-Family Relations; D011379:Prognosis; D015996:Survival Rate; D014314:Trisomy / Q000175:diagnosis / Q000235:genetics; D028761:Withholding Treatment / Q000941:ethics