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KMID : 1001920070420020135
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Journal of Korean Neurosurgical Society
2007 Volume.42 No. 2 p.135 ~ p.140
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Deciding not to Operate in Head Injuries and Legal Considerations
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Choi Il
Lee Kyeong-Seok
Shim Jae-Jun
Choi Weon-Rim
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Abstract
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It is not the best way to treat a hopeless patient with life-sustaining medical devices until the heart beats stop. Advanced medical technology may prolong the life for a significant period without recovery from the disease. However, it would give an unbearable economic burden to the family and the society. In 2006, we decided not to operate 9 patients with traumatic intracranial hematomas. We examined those patients with special references to possible legal and ethical problems. It is reasonable to withhold a treatment after documentation that the family never wants any life sustaining treatment when the treatment does not guarantee the meaningful life.
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KEYWORD
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Withholding treatment, Decision making, Resuscitation orders, Legislation and jurisprudence, Medical futility, Craniocerebral trauma.
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