Futile therapy protocols: A 3-year review of the implementation of Polish guidelines on ineffective organ function maintenance in pediatric intensive care unit-A pilot study.

Summary

A retrospective pilot review of 48 futile therapy protocols signed over three years at three academic Polish PICUs, following national guidelines on withholding or withdrawing ineffective organ support. It describes the patient population (mainly neurological, oncological and preterm children, often with severe birth asphyxia or chronic respiratory failure), where they were subsequently cared for, and survival after the protocol was signed. The authors conclude the guidelines supported structured decision-making about limiting non-beneficial treatment and highlight the role of palliative care. Relevant to PICU teams involved in end-of-life decision-making and documentation.

Summary written for PICUlearn. Always read the original.