Research Overview

Dr. Robert Truog is the Frances Glessner Lee Professor of Medical Ethics, Anaesthesia, & Pediatrics and Director of the Center for Bioethics at Harvard Medical School. He has broad research interests in all areas of bioethics, but is particularly engaged with ethical issues that arise in the practice of critical care medicine. His current areas of focus are examining definitions of death, addressing conflicts over medical futility, and improving communication and decision-making at the end-of-life.

 

Research Background

Dr. Truog’s research involves writing normative analysis and commentary on current issues in bioethics, particularly those related to critical care medicine. He also is engaged as a mentor for many research projects involving his students, fellows, and post-docs.

 

Education

Medical School

University of California at Los Angeles
1980 Los Angeles CA

Internship

Pediatrics University of Colorado
1983 Denver CO

Residency

Pediatrics University of Colorado
1983 Denver CO

Residency

Chief Resident University of Colorado
1984 Denver CO

Residency

Anesthesia University of California at Los Angeles
1986 Los Angeles CA

Fellowship

Pediatric Anesthesia/Critical Care Boston Children's Hospital
1987 Boston MA

Publications

  1. A Multicenter Weighted Lottery to Equitably Allocate Scarce COVID-19 Therapeutics. Am J Respir Crit Care Med. 2022 08 15; 206(4):503-506. View Abstract
  2. Do Not Attempt Resuscitation in the Operating Room: A Misconstrued Paradox? J Am Coll Surg. 2022 05 01; 234(5):953-957. View Abstract
  3. The neuroethics of disorders of consciousness: a brief history of evolving ideas. Brain. 2021 12 16; 144(11):3291-3310. View Abstract
  4. Ventilator Allocation Protocols: Sophisticated Bioethics for an Unworkable Strategy. Hastings Cent Rep. 2021 09; 51(5):56-57. View Abstract
  5. It Is Time to Abandon the Dogma That Brain Death Is Biological Death. Hastings Cent Rep. 2021 07; 51(4):18-21. View Abstract
  6. Allocating Resources Across the Life Span During COVID-19-Integrating Neonates and Children Into Crisis Standards of Care Protocols. JAMA Pediatr. 2021 04 01; 175(4):347-348. View Abstract
  7. Attitudes towards involving children in decision-making surrounding lung transplantation. Pediatr Pulmonol. 2021 06; 56(6):1534-1542. View Abstract
  8. Ethical climate in contemporary paediatric intensive care. J Med Ethics. 2021 Jan 11. View Abstract
  9. Seeking Conceptual Clarity in Organ Procurement Following Circulatory Determination of Death. J Law Med Ethics. 2021; 49(3):441-443. View Abstract
  10. Crisis Level ICU Triage Is About Saving Lives. Crit Care Med. 2021 01 01; 49(1):e102-e103. View Abstract
  11. Categorized Priority Systems: A New Tool for Fairly Allocating Scarce Medical Resources in the Face of Profound Social Inequities. Chest. 2021 03; 159(3):1294-1299. View Abstract
  12. What Should We Do When Families Refuse Testing for Brain Death? AMA J Ethics. 2020 12 01; 22(12):E986-994. View Abstract
  13. Trustworthiness before Trust - Covid-19 Vaccine Trials and the Black Community. N Engl J Med. 2020 Nov 26; 383(22):e121. View Abstract
  14. Brain Death-Moving Beyond Consistency in the Diagnostic Criteria. JAMA. 2020 09 15; 324(11):1045-1047. View Abstract
  15. Adult ICU Triage During the Coronavirus Disease 2019 Pandemic: Who Will Live and Who Will Die? Recommendations to Improve Survival. Crit Care Med. 2020 08; 48(8):1196-1202. View Abstract
  16. Defining Death: Lessons From the Case of Jahi McMath. Pediatrics. 2020 08; 146(Suppl 1):S75-S80. View Abstract
  17. Cognitive Bias and Public Health Policy During the COVID-19 Pandemic. JAMA. 2020 Jul 28; 324(4):337-338. View Abstract
  18. Understanding Brain Death. JAMA. 2020 Jun 02; 323(21):2139-2140. View Abstract
  19. Beyond the Apnea Test: An Argument to Broaden the Requirement for Consent to the Entire Brain Death Evaluation. Am J Bioeth. 2020 06; 20(6):17-19. View Abstract
  20. Tracheostomy in the COVID-19 era: global and multidisciplinary guidance. Lancet Respir Med. 2020 07; 8(7):717-725. View Abstract
  21. Parents Demand and Teenager Refuses Epidural Anesthesia. Pediatrics. 2020 06; 145(6). View Abstract
  22. Adult ICU Triage During the Coronavirus Disease 2019 Pandemic: Who Will Live and Who Will Die? Recommendations to Improve Survival. Crit Care Med. 2020 May 06. View Abstract
  23. Use of Nazi torture device image in digital scholarship article. Med Teach. 2020 06; 42(6):717-718. View Abstract
  24. Triage of Scarce Critical Care Resources in COVID-19 An Implementation Guide for Regional Allocation: An Expert Panel Report of the Task Force for Mass Critical Care and the American College of Chest Physicians. Chest. 2020 07; 158(1):212-225. View Abstract
  25. The Toughest Triage - Allocating Ventilators in a Pandemic. N Engl J Med. 2020 May 21; 382(21):1973-1975. View Abstract
  26. Location of Clinician-Family Communication at the End of Life in the Pediatric Intensive Care Unit and Clinician Perception of Communication Quality. J Palliat Med. 2020 08; 23(8):1052-1059. View Abstract
  27. Physician Orders for Life-Sustaining Treatment and Limiting Overtreatment at the End of Life. JAMA. 2020 03 10; 323(10):934-935. View Abstract
  28. Is 'best interests' the right standard in cases like that of Charlie Gard? J Med Ethics. 2020 01; 46(1):16-17. View Abstract
  29. Commentary: Defining Death: Definitions, Criteria, and Tests. Camb Q Healthc Ethics. 2019 10; 28(4):642-647. View Abstract
  30. Interprofessional Shared Decision-Making in the ICU: A Systematic Review and Recommendations From an Expert Panel. Crit Care Med. 2019 09; 47(9):1258-1266. View Abstract
  31. Of Slide Rules and Stethoscopes: AI and the Future of Doctoring. Hastings Cent Rep. 2019 09; 49(5):3. View Abstract
  32. In support of mitochondrial replacement therapy. Nat Med. 2019 06; 25(6):870-871. View Abstract
  33. Withholding and Withdrawing Life-Sustaining Treatment and the Relevance of the Killing Versus Letting Die Distinction. Am J Bioeth. 2019 03; 19(3):34-36. View Abstract
  34. How Ought Health Care Be Allocated? Two Proposals. Perspect Biol Med. 2019; 62(4):765-777. View Abstract
  35. Identifying intangible assets in interprofessional healthcare organizations: feasibility of an asset inventory. J Interprof Care. 2019 Sep-Oct; 33(5):583-586. View Abstract
  36. Lessons from the Case of Jahi McMath. Hastings Cent Rep. 2018 Nov; 48 Suppl 4:S70-S73. View Abstract
  37. Brain Death at Fifty: Exploring Consensus, Controversy, and Contexts. Hastings Cent Rep. 2018 Nov; 48 Suppl 4:S2-S5. View Abstract
  38. Biological, Legal, and Moral Definitions of Brain Death-Reply. JAMA. 2018 10 09; 320(14):1494-1495. View Abstract
  39. Voluntary Euthanasia - Implications for Organ Donation. N Engl J Med. 2018 Sep 06; 379(10):909-911. View Abstract
  40. When a Child Dies in the PICU Despite Ongoing Life Support. Pediatr Crit Care Med. 2018 08; 19(8S Suppl 2):S33-S40. View Abstract
  41. An Ethical Claim for Providing Medical Recommendations in Pediatric Intensive Care. Pediatr Crit Care Med. 2018 08; 19(8):e433-e437. View Abstract
  42. The 50-Year Legacy of the Harvard Report on Brain Death. JAMA. 2018 Jul 24; 320(4):335-336. View Abstract
  43. Yes, Families Really Do Respond to More Empathetic Physicians. JAMA Netw Open. 2018 07 06; 1(3):e180352. View Abstract
  44. Conflicts of interest in critical care partnerships: are we living up to our values? Intensive Care Med. 2018 Oct; 44(10):1730-1731. View Abstract
  45. Building Capacity for a Global Genome Editing Observatory: Institutional Design. Trends Biotechnol. 2018 08; 36(8):741-743. View Abstract
  46. Building Capacity for a Global Genome Editing Observatory: Conceptual Challenges. Trends Biotechnol. 2018 07; 36(7):639-641. View Abstract
  47. Defining Death-Making Sense of the Case of Jahi McMath. JAMA. 2018 May 08; 319(18):1859-1860. View Abstract
  48. Voluntary Stopping and Eating and Drinking Among Patients With Serious Advanced Illness-A Label in Search of a Problem?-Reply. JAMA Intern Med. 2018 05 01; 178(5):727. View Abstract
  49. The Concept of Futility: Recognizing the Importance of Context. Perspect Biol Med. 2018; 60(3):428-432. View Abstract
  50. Voluntarily Stopping Eating and Drinking Among Patients With Serious Advanced Illness-Clinical, Ethical, and Legal Aspects. JAMA Intern Med. 2018 01 01; 178(1):123-127. View Abstract
  51. How Should Clinicians Weigh the Benefits and Harms of Discussing Politicized Topics that Influence Their Individual Patients' Health? AMA J Ethics. 2017 Dec 01; 19(12):1174-1182. View Abstract
  52. Potentially inappropriate liver transplantation in the era of the "sickest first" policy - A search for the upper limits. J Hepatol. 2018 04; 68(4):798-813. View Abstract
  53. Pediatric Donation After Circulatory Determination of Death: Canadian Guidelines Define Parameters of Consensus and Uncertainty. Pediatr Crit Care Med. 2017 11; 18(11):1068-1070. View Abstract
  54. The United Kingdom Sets Limits on Experimental Treatments: The Case of Charlie Gard. JAMA. 2017 Sep 19; 318(11):1001-1002. View Abstract
  55. Expanding the Horizon of Our Obligations in the Clinician-Patient Relationship. Hastings Cent Rep. 2017 07; 47(4):40-41. View Abstract
  56. Rebuttal From Drs Truog and Tasker. Chest. 2017 10; 152(4):705-706. View Abstract
  57. COUNTERPOINT: Should Informed Consent Be Required for Apnea Testing in Patients With Suspected Brain Death? Yes. Chest. 2017 10; 152(4):702-704. View Abstract
  58. Patient autonomy and professional expertise in decisions near the end of life: commentary on Francis Kamm. J Med Ethics. 2017 09; 43(9):587-588. View Abstract
  59. What to Do When There Aren't Enough Beds in the PICU. AMA J Ethics. 2017 Feb 01; 19(2):157-163. View Abstract
  60. The DNR Order after 40 Years. N Engl J Med. 2016 Aug 11; 375(6):504-6. View Abstract
  61. Against "Healthy Paternalism" at the End of Life. JAMA Oncol. 2016 Jun 01; 2(6):832. View Abstract
  62. The price of our illusions and myths about the dead donor rule. J Med Ethics. 2016 May; 42(5):318-9. View Abstract
  63. Toward Better ICU Use at the End of Life. JAMA. 2016 Jan 19; 315(3):255-6. View Abstract
  64. Medically Inappropriate or Futile Treatment: Deliberation and Justification. J Med Philos. 2016 Feb; 41(1):90-114. View Abstract
  65. The Question of Clinical Equipoise and Patients' Best Interests. AMA J Ethics. 2015 Dec 01; 17(12):1108-15. View Abstract
  66. The Importance of Deception in Simulation: A Response. Simul Healthc. 2015 Dec; 10(6):387-390. View Abstract
  67. Prenatal Decision-Making for Myelomeningocele: Can We Minimize Bias and Variability? Pediatrics. 2015 Sep; 136(3):409-11. View Abstract
  68. Ethical dilemmas with the use of ECMO as a bridge to transplantation. Lancet Respir Med. 2015 Aug; 3(8):597-8. View Abstract
  69. What is a reflex? A guide for understanding disorders of consciousness. Neurology. 2015 Aug 11; 85(6):543-8. View Abstract
  70. Deception and simulation education: issues, concepts, and commentary. Simul Healthc. 2015 Jun; 10(3):163-9. View Abstract
  71. An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units. Am J Respir Crit Care Med. 2015 Jun 01; 191(11):1318-30. View Abstract
  72. In Favour of Medical Dissensus: Why We Should Agree to Disagree About End-of-Life Decisions. Bioethics. 2016 Feb; 30(2):109-18. View Abstract
  73. An official American Thoracic Society policy statement: managing conscientious objections in intensive care medicine. Am J Respir Crit Care Med. 2015 Jan 15; 191(2):219-27. View Abstract
  74. Talking with parents about end-of-life decisions for their children. Pediatrics. 2015 Feb; 135(2):e465-76. View Abstract
  75. Microethics: the ethics of everyday clinical practice. Hastings Cent Rep. 2015 Jan-Feb; 45(1):11-7. View Abstract
  76. Medical futility: a new look at an old problem. Chest. 2014 Dec; 146(6):1667-1672. View Abstract
  77. Should we tell parents when we've made an error? Pediatrics. 2015 Jan; 135(1):159-63. View Abstract
  78. Ethical considerations surrounding lethal injection--reply. JAMA. 2014 Nov 05; 312(17):1804-5. View Abstract
  79. Seeking worldwide professional consensus on the principles of end-of-life care for the critically ill. The Consensus for Worldwide End-of-Life Practice for Patients in Intensive Care Units (WELPICUS) study. Am J Respir Crit Care Med. 2014 Oct 15; 190(8):855-66. View Abstract
  80. Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. J Pediatr. 2014 Dec; 165(6):1245-1251.e1. View Abstract
  81. Epidemiology of death in the PICU at five U.S. teaching hospitals*. Crit Care Med. 2014 Sep; 42(9):2101-8. View Abstract
  82. The meaning of brain death: a different view. JAMA Intern Med. 2014 Aug; 174(8):1215-6. View Abstract
  83. Apologies in medicine: legal protection is not enough. CMAJ. 2015 Mar 17; 187(5):E156-9. View Abstract
  84. Physicians, medical ethics, and execution by lethal injection. JAMA. 2014 Jun 18; 311(23):2375-6. View Abstract
  85. Measuring the quality of dying and death in the pediatric intensive care setting: the clinician PICU-QODD. J Pain Symptom Manage. 2015 Jan; 49(1):66-78. View Abstract
  86. Defining death: the importance of scientific candor and transparency. Intensive Care Med. 2014 Jun; 40(6):885-7. View Abstract
  87. Changing the conversation about brain death. Am J Bioeth. 2014; 14(8):9-14. View Abstract
  88. Futile treatments in intensive care units. JAMA Intern Med. 2013 Nov 11; 173(20):1894-5. View Abstract
  89. Family participation during intensive care unit rounds: attitudes and experiences of parents and healthcare providers in a tertiary pediatric intensive care unit. J Pediatr. 2014 Feb; 164(2):402-6.e1-4. View Abstract
  90. Talking with patients about other clinicians' errors. N Engl J Med. 2013 Oct 31; 369(18):1752-7. View Abstract
  91. The dead-donor rule and the future of organ donation. N Engl J Med. 2013 Oct 03; 369(14):1287-9. View Abstract
  92. An official American Thoracic Society workshop report: assessment and palliative management of dyspnea crisis. Ann Am Thorac Soc. 2013 Oct; 10(5):S98-106. View Abstract
  93. Triage of intensive care patients: identifying agreement and controversy. Intensive Care Med. 2013 Nov; 39(11):1916-24. View Abstract
  94. An official American Thoracic Society/International Society for Heart and Lung Transplantation/Society of Critical Care Medicine/Association of Organ and Procurement Organizations/United Network of Organ Sharing Statement: ethical and policy considerations in organ donation after circulatory determination of death. Am J Respir Crit Care Med. 2013 Jul 01; 188(1):103-9. View Abstract
  95. The OHRP and SUPPORT. N Engl J Med. 2013 Jun 20; 368(25):e36. View Abstract
  96. Palliative care in the ICU: lots of questions, few answers*. Crit Care Med. 2013 Jun; 41(6):1568-9. View Abstract
  97. Ethical challenges in providing eolc in the ICU. BMJ Support Palliat Care. 2013 Jun; 3(2):241. View Abstract
  98. Talking with families about organ donation in the ICU. BMJ Support Palliat Care. 2013 Jun; 3(2):276. View Abstract
  99. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014 May; 22(3):242-6. View Abstract
  100. Apology laws and open disclosure. Med J Aust. 2013 May 06; 198(8):411-2. View Abstract
  101. The luck of the draw: physician-related variability in end-of-life decision-making in intensive care. Intensive Care Med. 2013 Jun; 39(6):1128-32. View Abstract
  102. Deception and death in medical simulation. Simul Healthc. 2013 Feb; 8(1):1-3. View Abstract
  103. The ethics of reality medical television. J Clin Ethics. 2013; 24(1):50-7. View Abstract
  104. "I was able to still be her mom"--parenting at end of life in the pediatric intensive care unit. Pediatr Crit Care Med. 2012 Nov; 13(6):e350-6. View Abstract
  105. "What would you do if this were your child?": practitioners' responses during enacted conversations in the United States. Pediatr Crit Care Med. 2012 Nov; 13(6):e372-6. View Abstract
  106. Research ethics. Paying patients for their tissue: the legacy of Henrietta Lacks. Science. 2012 Jul 06; 337(6090):37-8. View Abstract
  107. Anesthesia does not reduce suffering at the end of life. Crit Care Med. 2012 Jul; 40(7):2268. View Abstract
  108. "Brain death" is a useful fiction. Crit Care Med. 2012 Apr; 40(4):1393-4; author reply 1394. View Abstract
  109. Patients and doctors--evolution of a relationship. N Engl J Med. 2012 Feb 16; 366(7):581-5. View Abstract
  110. Should patients receive general anesthesia prior to extubation at the end of life?. Crit Care Med. 2012 Feb; 40(2):631-3. View Abstract
  111. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Radiology. 2012 Feb; 262(2):381-6. View Abstract
  112. When does a nudge become a shove in seeking consent for organ donation? Am J Bioeth. 2012; 12(2):42-4. View Abstract
  113. Rationing in the intensive care unit: to disclose or disguise? Crit Care Med. 2012 Jan; 40(1):261-6. View Abstract
  114. Going all the way: ethical clarity and ethical progress. Am J Bioeth. 2012; 12(6):10-1. View Abstract
  115. Tolstoy on transparency and authority in end-of-life decision-making. Intensive Care Med. 2011 Nov; 37(11):1723-4. View Abstract
  116. Death and legal fictions. J Med Ethics. 2011 Dec; 37(12):719-22. View Abstract
  117. Do-not-resuscitate orders in evolution: matching medical interventions with patient goals. Crit Care Med. 2011 May; 39(5):1213-4. View Abstract
  118. Are there some things doctors just shouldn't do? Hastings Cent Rep. 2011 May-Jun; 41(3):3. View Abstract
  119. Neonatal decision-making: beyond the standard of best interests. Am J Bioeth. 2011 Feb; 11(2):44-5. View Abstract
  120. Cross-cultural adaptation of an innovative approach to learning about difficult conversations in healthcare. Med Teach. 2011; 33(2):e57-64. View Abstract
  121. Moral fictions and medical ethics. Bioethics. 2010 Nov; 24(9):453-60. View Abstract
  122. Decapitation and the definition of death. J Med Ethics. 2010 Oct; 36(10):632-4. View Abstract
  123. Counterpoint: are donors after circulatory death really dead, and does it matter? No and not really. Chest. 2010 Jul; 138(1):16-8; discussion 18-9. View Abstract
  124. Brain perfusion scans to diagnose brain death: more than meets the eye. Pediatr Crit Care Med. 2010 Jul; 11(4):527-8. View Abstract
  125. The dead donor rule: can it withstand critical scrutiny? J Med Philos. 2010 Jun; 35(3):299-312. View Abstract
  126. Translating research on communication in the intensive care unit into effective educational strategies. Crit Care Med. 2010 Mar; 38(3):976-7. View Abstract
  127. Organ donors after circulatory determination of death: not necessarily dead, and it does not necessarily matter. Crit Care Med. 2010 Mar; 38(3):1011-2. View Abstract
  128. Is it always wrong to perform futile CPR? N Engl J Med. 2010 Feb 11; 362(6):477-9. View Abstract
  129. The conversation around CPR/DNR should not be revived--at least for now. Am J Bioeth. 2010 Jan; 10(1):84-5. View Abstract
  130. Screening mammography and the "r" word. N Engl J Med. 2009 Dec 24; 361(26):2501-3. View Abstract
  131. Counterpoint: The Texas advance directives act is ethically flawed: medical futility disputes must be resolved by a fair process. Chest. 2009 Oct; 136(4):968-971. View Abstract
  132. Controversies about brain death. JAMA. 2009 Jul 22; 302(4):380-1; author reply 381-2. View Abstract
  133. The incoherence of determining death by neurological criteria: a commentary on "Controversies in the determination of death", a White Paper by the President's Council on Bioethics. Kennedy Inst Ethics J. 2009 Jun; 19(2):185-93. View Abstract
  134. Difficult conversations: improving communication skills and relational abilities in health care. Pediatr Crit Care Med. 2009 May; 10(3):352-9. View Abstract
  135. Anesthesiology trainees face ethical, practical, and relational challenges in obtaining informed consent. Anesthesiology. 2009 Mar; 110(3):480-6. View Abstract
  136. Assessment of communication skills and self-appraisal in the simulated environment: feasibility of multirater feedback with gap analysis. Simul Healthc. 2009; 4(1):22-9. View Abstract
  137. Anesthesiologist management of perioperative do-not-resuscitate orders: a simulation-based experiment. Simul Healthc. 2009; 4(2):70-6. View Abstract
  138. Intercontinental differences in end-of-life attitudes in the pediatric intensive care unit: results of a worldwide survey. Pediatr Crit Care Med. 2008 Nov; 9(6):560-6. View Abstract
  139. Rethinking the ethics of vital organ donations. Hastings Cent Rep. 2008 Nov-Dec; 38(6):38-46. View Abstract
  140. Futility: the limits of mediation. Chest. 2008 Oct; 134(4):888-889. View Abstract
  141. The dead donor rule and organ transplantation. N Engl J Med. 2008 Aug 14; 359(7):674-5. View Abstract
  142. An apology for Socratic bioethics. Am J Bioeth. 2008 Jul; 8(7):3-7. View Abstract
  143. Assumptions and blind spots in patient-centredness: action research between American and Italian health care professionals. Med Educ. 2008 Jul; 42(7):712-20. View Abstract
  144. A continuum for using placebo interventions in regional anesthesia and analgesia studies. Clin Pharmacol Ther. 2008 Jul; 84(1):163-5. View Abstract
  145. Not euthanasia, simply compassionate clinical care. Crit Care Med. 2008 Apr; 36(4):1387-8; author reply 1389. View Abstract
  146. Consent for organ donation--balancing conflicting ethical obligations. N Engl J Med. 2008 Mar 20; 358(12):1209-11. View Abstract
  147. Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine. Crit Care Med. 2008 Mar; 36(3):953-63. View Abstract
  148. Physicians and execution--highlights from a discussion of lethal injection. N Engl J Med. 2008 Jan 31; 358(5):448-51. View Abstract
  149. End-of-life decision-making in the United States. Eur J Anaesthesiol Suppl. 2008; 42:43-50. View Abstract
  150. Futility: a concept in evolution. Chest. 2007 Dec; 132(6):1987-93. View Abstract
  151. Ethical assessment of pediatric research protocols. Intensive Care Med. 2008 Jan; 34(1):198-202. View Abstract
  152. Difficult conversations in health care: cultivating relational learning to address the hidden curriculum. Acad Med. 2007 Sep; 82(9):905-13. View Abstract
  153. Tackling medical futility in Texas. N Engl J Med. 2007 Jul 05; 357(1):1-3. View Abstract
  154. The controversy over artificial hydration and nutrition. Neurology. 2007 Jan 30; 68(5):391; author reply 392. View Abstract
  155. Doing research on the ethics of doing research. Crit Care. 2007; 11(1):111; discussion 111. View Abstract
  156. Brain death - too flawed to endure, too ingrained to abandon. J Law Med Ethics. 2007; 35(2):273-81. View Abstract
  157. Reflections on love, fear, and specializing in the impossible. J Clin Ethics. 2007; 18(4):373-6. View Abstract
  158. Toward interventions to improve end-of-life care in the pediatric intensive care unit. Crit Care Med. 2006 Nov; 34(11 Suppl):S373-9. View Abstract
  159. Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care Workgroup. Crit Care Med. 2006 Nov; 34(11 Suppl):S404-11. View Abstract
  160. Futility--from hospital policies to state laws. Am J Bioeth. 2006 Sep-Oct; 6(5):19-21; discussion W30-2. View Abstract
  161. Sudden traumatic death in children: "we did everything, but your child didn't survive". JAMA. 2006 Jun 14; 295(22):2646-54. View Abstract
  162. Rationing in the intensive care unit. Crit Care Med. 2006 Apr; 34(4):958-63; quiz 971. View Abstract
  163. Do differences in the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists positions on the ethics of maternal-fetal interventions reflect subtly divergent professional sensitivities to pregnant women and fetuses? Pediatrics. 2006 Apr; 117(4):1382-7. View Abstract
  164. Appropriate use of artificial nutrition and hydration. N Engl J Med. 2006 Mar 23; 354(12):1320-1; author reply 1320-1. View Abstract
  165. Improving the quality of end-of-life care in the pediatric intensive care unit: parents' priorities and recommendations. Pediatrics. 2006 Mar; 117(3):649-57. View Abstract
  166. When a village is not enough. J Clin Ethics. 2006; 17(1):79. View Abstract
  167. The truth about "donation after cardiac death". J Clin Ethics. 2006; 17(2):133-6. View Abstract
  168. Refusal of hydration and nutrition: irrelevance of the "artificial" vs "natural" distinction. Arch Intern Med. 2005 Dec 12-26; 165(22):2574-6. View Abstract
  169. End-of-life care: is euthanasia the answer? Intensive Care Med. 2006 Jan; 32(1):6-8. View Abstract
  170. Organ donation without brain death? Hastings Cent Rep. 2005 Nov-Dec; 35(6):3. View Abstract
  171. New and lingering controversies in pediatric end-of-life care. Pediatrics. 2005 Oct; 116(4):872-83. View Abstract
  172. International differences in end-of-life attitudes in the intensive care unit: results of a survey. Arch Intern Med. 2005 Sep 26; 165(17):1970-5. View Abstract
  173. The ethics of organ donation by living donors. N Engl J Med. 2005 Aug 04; 353(5):444-6. View Abstract
  174. Variability in end-of-life care--how much is too much? Pediatr Crit Care Med. 2005 May; 6(3):368-9. View Abstract
  175. Increasing the participation of children in clinical research. Intensive Care Med. 2005 Jun; 31(6):760-1. View Abstract
  176. Do-not-resuscitate orders in the surgical setting. Lancet. 2005 Feb 26-Mar 4; 365(9461):733-5. View Abstract
  177. Are organs personal property or a societal resource? Am J Bioeth. 2005; 5(4):14-6. View Abstract
  178. Soliciting organs on the Internet. Med Ethics (Burlingt Mass). 2005; 12(3):5-8. View Abstract
  179. Practicing physicians and the role of family surrogate decision making. J Clin Ethics. 2005; 16(4):345-54. View Abstract
  180. Informed consent: an end or a means? A response to Miller and Moreno. J Clin Ethics. 2005; 16(4):365-8; discussion 376-9. View Abstract
  181. The ethical conduct of clinical research involving critically ill patients in the United States and Canada: principles and recommendations. Am J Respir Crit Care Med. 2004 Dec 15; 170(12):1375-84. View Abstract
  182. Will ethical requirements bring critical care research to a halt? Intensive Care Med. 2005 Mar; 31(3):338-44. View Abstract
  183. Brain death: at once "well settled" and "persistently unresolved". Virtual Mentor. 2004 Aug 01; 6(8). View Abstract
  184. Perioperative management of diabetes insipidus in children. J Neurosurg Anesthesiol. 2004 Jul; 16(3):220-5. View Abstract
  185. Perioperative management of diabetes insipidus in children [corrected]. J Neurosurg Anesthesiol. 2004 Jan; 16(1):14-9. View Abstract
  186. Decision making and satisfaction with care in the pediatric intensive care unit: findings from a controlled clinical trial. Pediatr Crit Care Med. 2004 Jan; 5(1):40-7. View Abstract
  187. Excerpts from the ethics consult report: MT. J Clin Ethics. 2004; 15(3):302-6. View Abstract
  188. Spinal muscular atrophy--type I. Arch Dis Child. 2003 Oct; 88(10):848-50. View Abstract
  189. Role of brain death and the dead-donor rule in the ethics of organ transplantation. Crit Care Med. 2003 Sep; 31(9):2391-6. View Abstract
  190. Nature of conflict in the care of pediatric intensive care patients with prolonged stay. Pediatrics. 2003 Sep; 112(3 Pt 1):553-8. View Abstract
  191. Results of a clinical trial on care improvement for the critically ill. Crit Care Med. 2003 Aug; 31(8):2107-17. View Abstract
  192. Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictors. Intensive Care Med. 2003 Sep; 29(9):1489-97. View Abstract
  193. Attitudes and preferences of intensivists regarding the role of family interests in medical decision making for incompetent patients. Crit Care Med. 2003 Jul; 31(7):1895-900. View Abstract
  194. Current controversies in critical care ethics: not just end of life. Crit Care Med. 2003 May; 31(5 Suppl):S343. View Abstract
  195. Do-not-resuscitate order after 25 years. Crit Care Med. 2003 May; 31(5):1543-50. View Abstract
  196. Revisiting "Doctor, if this were your child, what would you do?". J Clin Ethics. 2003 Spring-Summer; 14(1-2):63-7. View Abstract
  197. Organ donation after cardiac death: what role for anesthesiologists? Anesthesiology. 2003 Mar; 98(3):599-600. View Abstract
  198. Dying patients as research subjects. Hastings Cent Rep. 2003 Jan-Feb; 33(1):3. View Abstract
  199. A bridge to nowhere. J Clin Ethics. 2003; 14(3):189. View Abstract
  200. Guidelines for perioperative do-not-resuscitate policies. J Clin Anesth. 2002 Sep; 14(6):467-73. View Abstract
  201. Respiratory support in spinal muscular atrophy type I: a survey of physician practices and attitudes. Pediatrics. 2002 Aug; 110(2 Pt 1):e24. View Abstract
  202. Case reports from the Harvard Ethics Consortium. J Clin Ethics. 2002; 13(1):49-53. View Abstract
  203. Irene's story. J Clin Ethics. 2002; 13(3):230-1. View Abstract
  204. Parental perspectives on end-of-life care in the pediatric intensive care unit. Crit Care Med. 2002 Jan; 30(1):226-31. View Abstract
  205. Recommendations for end-of-life care in the intensive care unit: The Ethics Committee of the Society of Critical Care Medicine. Crit Care Med. 2001 Dec; 29(12):2332-48. View Abstract
  206. Discontinuing immunosuppression in a child with a renal transplant: are there limits to withdrawing life support? Am J Kidney Dis. 2001 Oct; 38(4):901-15. View Abstract
  207. The diagnosis of brain death. N Engl J Med. 2001 Aug 23; 345(8):617; author reply 617-8. View Abstract
  208. 'Round-table' ethical debate: is a suicide note an authoritative 'living will'? Crit Care. 2001; 5(3):115-24. View Abstract
  209. End-of-life care in the pediatric intensive care unit: attitudes and practices of pediatric critical care physicians and nurses. Crit Care Med. 2001 Mar; 29(3):658-64. View Abstract
  210. Do-not-resuscitate orders: from the ward to the operating room; from procedures to goals. Int Anesthesiol Clin. 2001; 39(3):53-65. View Abstract
  211. Practical guidelines on the withdrawal of life-sustaining therapies. Int Anesthesiol Clin. 2001; 39(3):87-102. View Abstract
  212. Debate: what constitutes 'terminality' and how does it relate to a living will? Crit Care. 2000; 4(6):333-8. View Abstract
  213. Organ transplantation without brain death. Ann N Y Acad Sci. 2000 Sep; 913:229-39. View Abstract
  214. End-of-life care in the pediatric intensive care unit after the forgoing of life-sustaining treatment. Crit Care Med. 2000 Aug; 28(8):3060-6. View Abstract
  215. Insertion of femoral-vein catheters for practice during cardiopulmonary resuscitation. N Engl J Med. 2000 May 04; 342(18):1369; author reply 1369-70. View Abstract
  216. Pharmacologic paralysis and withdrawal of mechanical ventilation at the end of life. N Engl J Med. 2000 Feb 17; 342(7):508-11. View Abstract
  217. Autopsy consent practice at US teaching hospitals: results of a national survey. Arch Intern Med. 2000 Feb 14; 160(3):374-80. View Abstract
  218. Sedation for intractable distress of a dying patient: acute palliative care and the principle of double effect. Oncologist. 2000; 5(1):53-62. View Abstract
  219. From the files of a pediatric ethics committee. J Clin Ethics. 2000; 11(2):112-20. View Abstract
  220. Futility in pediatrics: from case to policy. J Clin Ethics. 2000; 11(2):136-41. View Abstract
  221. Bragdon v. Abbott. J Clin Anesth. 1999 Sep; 11(6):494-8. View Abstract
  222. Informed consent for research: the achievements of the past and the challenges of the future. Anesthesiology. 1999 Jun; 90(6):1499-501. View Abstract
  223. Is informed consent always necessary for randomized, controlled trials? . N Engl J Med. 1999 Mar 11; 340(10):804-7. View Abstract
  224. Informed consent and research design in critical care medicine. Crit Care. 1999; 3(3):R29-R33. View Abstract
  225. DNR in the OR: a goal-directed approach. Anesthesiology. 1999 Jan; 90(1):289-95. View Abstract
  226. "Doctor, if this were your child, what would you do"? Pediatrics. 1999 Jan; 103(1):153-4. View Abstract
  227. Death: merely biological? Hastings Cent Rep. 1999 Jan-Feb; 29(1):4; author reply 5. View Abstract
  228. How an anesthesiologist can use the ethics consultation service. Anesthesiology. 1997 Nov; 87(5):1231-8. View Abstract
  229. Informed consent. Anesthesiology. 1997 Oct; 87(4):968-78. View Abstract
  230. The end-of-life sequence. Anesthesiology. 1997 Sep; 87(3):676-86. View Abstract
  231. An introduction to ethics. Anesthesiology. 1997 Aug; 87(2):411-7. View Abstract
  232. Mistrust, racism, and end-of-life treatment. Hastings Cent Rep. 1997 May-Jun; 27(3):23; discussion 23-5. View Abstract
  233. Ethical controversies in pediatric critical care. New Horiz. 1997 Feb; 5(1):72-84. View Abstract
  234. Is it time to abandon brain death? Hastings Cent Rep. 1997 Jan-Feb; 27(1):29-37. View Abstract
  235. Treating the patient to benefit others. Camb Q Healthc Ethics. 1997; 6(3):306-13. View Abstract
  236. What needs to be said? Informed consent in the context of spinal anesthesia. J Clin Anesth. 1996 Sep; 8(6):525-7. View Abstract
  237. Is "informed right of refusal" the same as "informed consent"? J Clin Ethics. 1996; 7(1):87-9. View Abstract
  238. CPR-not-indicated and futility. Ann Intern Med. 1996 Jan 01; 124(1):75-7. View Abstract
  239. Randomized controlled trials of innovative therapies: are they ethical? J Nephrol. 1995 Nov-Dec; 8(6):285-6. View Abstract
  240. Beyond futility to an ethic of care. Am J Med. 1995 Oct; 99(4):443-4. View Abstract
  241. The benefits of the explanation of the risks of anesthesia in the day surgery patient. J Clin Anesth. 1995 May; 7(3):200-4. View Abstract
  242. The cardiopulmonary resuscitation-not-indicated order: futility revisited. Ann Intern Med. 1995 Feb 15; 122(4):304-8. View Abstract
  243. Forgoing medically provided nutrition and hydration in pediatric patients. J Law Med Ethics. 1995; 23(1):33-46. View Abstract
  244. Progress in the futility debate. J Clin Ethics. 1995; 6(2):128-32. View Abstract
  245. Using newly deceased patients to teach resuscitation procedures. N Engl J Med. 1994 Dec 15; 331(24):1652-5. View Abstract
  246. HealthCare Ethics Forum '94: pain management and sedation in the terminally ill. AACN Clin Issues Crit Care Nurs. 1994 Aug; 5(3):360-5. View Abstract
  247. Amnesia instead of anesthesia: not always a question of consent. J Clin Ethics. 1994; 5(2):153-5. View Abstract
  248. To breathe or not to breathe. J Clin Ethics. 1994; 5(1):39-41. View Abstract
  249. Participation of physicians in capital punishment. N Engl J Med. 1993 Oct 28; 329(18):1346-50. View Abstract
  250. Randomized controlled trials of potentially life-saving therapies: are they ethical? Coron Artery Dis. 1993 Sep; 4(9):835-6. View Abstract
  251. Life, death, and solid organ transplantation without brain death. Crit Care Med. 1993 Sep; 21(9 Suppl):S356-7. View Abstract
  252. Withdrawing mechanical ventilation. Crit Care Med. 1993 Sep; 21(9 Suppl):S396-7. View Abstract
  253. Tolerance to isoflurane during prolonged administration. Anesthesiology. 1993 May; 78(5):985-8. View Abstract
  254. Prolonged administration of isoflurane to pediatric patients during mechanical ventilation. Anesth Analg. 1993 Mar; 76(3):520-6. View Abstract
  255. High-frequency oscillatory ventilation in pediatric respiratory failure. Crit Care Med. 1993 Feb; 21(2):272-8. View Abstract
  256. Pain, euthanasia, and anesthesiologists. Anesthesiology. 1993 Feb; 78(2):353-60. View Abstract
  257. What does "resuscitate" mean in a do-not-resuscitate (DNR) order? Anesth Analg. 1993 Jan; 76(1):206-7. View Abstract
  258. Barbiturates in the care of the terminally ill. N Engl J Med. 1992 Dec 03; 327(23):1678-82. View Abstract
  259. Rethinking brain death. Crit Care Med. 1992 Dec; 20(12):1705-13. View Abstract
  260. Randomized controlled trials: lessons from ECMO. Clin Res. 1992 Oct; 40(3):519-27. View Abstract
  261. Anesthesia in neonatal cardiac surgery. N Engl J Med. 1992 Jul 09; 327(2):125; author reply 127. View Abstract
  262. The problem with futility. N Engl J Med. 1992 Jun 04; 326(23):1560-4. View Abstract
  263. DNR in the OR: further questions. J Clin Anesth. 1992 May-Jun; 4(3):177-80. View Abstract
  264. Triage in the ICU. Hastings Cent Rep. 1992 May-Jun; 22(3):13-7. View Abstract
  265. DNR in the OR. JAMA. 1992 Mar 18; 267(11):1466-7. View Abstract
  266. Brain death and the termination of life support: case and analysis. J Clin Ethics. 1992; 3(1):78-82. View Abstract
  267. Locked-in syndrome and ethics committee deliberation. J Clin Ethics. 1992; 3(3):209-10. View Abstract
  268. Can empirical data establish futility? J Clin Ethics. 1992; 3(4):315-6. View Abstract
  269. The "ethics of evidence" and randomized controlled trials. J Clin Ethics. 1992; 3(1):65-7. View Abstract
  270. Beyond futility: commentary. J Clin Ethics. 1992; 3(2):143-5. View Abstract
  271. A prospective analysis of cholestasis in infants supported with extracorporeal membrane oxygenation. J Pediatr Gastroenterol Nutr. 1991 Oct; 13(3):285-9. View Abstract
  272. Changes in the pharmacodynamic response to fentanyl in neonates during continuous infusion. J Pediatr. 1991 Oct; 119(4):639-43. View Abstract
  273. Ethical issues in pediatric anesthesia. Semin Anesth. 1991 Sep; 10(3):187-94. View Abstract
  274. "Do-not-resuscitate" orders during anesthesia and surgery. Anesthesiology. 1991 Mar; 74(3):606-8. View Abstract
  275. Should newborns receive analgesics for pain? J Clin Ethics. 1991; 2(2):115-7. View Abstract
  276. Sedation before ventilator withdrawal: medical and ethical considerations. J Clin Ethics. 1991; 2(2):127-9. View Abstract
  277. Tolerance and dependence in neonates sedated with fentanyl during extracorporeal membrane oxygenation. Anesthesiology. 1990 Dec; 73(6):1136-40. View Abstract
  278. Allowing to die. Crit Care Med. 1990 Jul; 18(7):790-1. View Abstract
  279. Brain death and the anencephalic newborn. Bioethics. 1990 Jul; 4(3):199-215. View Abstract
  280. Repair of congenital diaphragmatic hernia during extracorporeal membrane oxygenation. Anesthesiology. 1990 Apr; 72(4):750-3. View Abstract
  281. Fetal pulmonary vasodilation by histamine: response to H1 and H2 stimulation. Dev Pharmacol Ther. 1990; 14(3):180-6. View Abstract
  282. Inorganic fluoride and prolonged isoflurane anesthesia in the intensive care unit. Anesth Analg. 1989 Dec; 69(6):843-5. View Abstract
  283. Anencephalic newborns. Can organs be transplanted before brain death? N Engl J Med. 1989 Aug 10; 321(6):388-91. View Abstract
  284. Exposure to di(2-ethylhexyl)phthalate in infants receiving extracorporeal membrane oxygenation. N Engl J Med. 1989 Jun 08; 320(23):1563. View Abstract
  285. Management of pain in the postoperative neonate. Clin Perinatol. 1989 Mar; 16(1):61-78. View Abstract
  286. Relationship between the neurotoxicity and phospholipase A activity of beta-bungarotoxin. Biochemistry. 1977 Jan 11; 16(1):122-5. View Abstract

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