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The Paradigm Shift Toward Surgical Intervention for Neonates With Hypoplastic Left Heart Syndrome
Gil Wernovsky, MD
Arch Pediatr Adolesc Med. 2008;162(9):849-854.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Should nonintervention (or what some physicians call comfort care) be offered as an option to parents of neonates with hypoplastic left heart syndrome (HLHS)? While this may have been a reasonable choice 2 decades ago, I will argue that—for 2 primary reasons having to do with improvements in outcomes over time and by comparing HLHS with other life-threatening pediatric conditions—nonintervention should no longer be offered.
Let me state up front that I have come to these opinions through working at 2 large tertiary care, academic medical centers during the past 20 years. Both of these centers have been and still very much are strong advocates for intervention in children with high-risk, complex congenital heart disease (CHD). These centers have cared for many children whose families specifically traveled there for these high-risk interventions. My opinions undoubtedly reflect that bias and experience. My practice and research have focused . . . [Full Text of this Article] GOOD COUNSELING BEGINS WITH GOOD DATA
COMPARISON WITH OTHER DISEASES
WHO SHOULD COUNSEL PARENTS AND HOW?
A PARADIGM SHIFT
AUTHOR INFORMATION
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