A Quebec court authorizes the removal of the breathing tube of a comatose child
The hospital says doctors believe the child can breathe on their own and that the risks associated with intubation outweigh the expected benefits.
A court judge Superior of Quebec has ruled that a Montreal children's hospital can permanently remove a breathing tube from a five-year-old child who has been in a coma since June.
Sainte-Justine Hospital has gone to court because the child's parents refuse to consent to the procedure unless doctors consider reintubating the child. x27;child if things go wrong.
The hospital says doctors believe the child can breathe on their own and that the risks associated with #x27;intubation are greater than the expected benefits.
The boy has been in a coma since June 12 after being found at the bottom of the family pool where he went into prolonged cardiovascular arrest.
A few days after being admitted to the ;Sainte-Justine Hospital, the young boy is struggling with many problems, including acute respiratory distress syndrome, cardiac dysfunction and episodes of seizures.
The Quebec Superior Court judgment indicates that on June 16, the medical team first discussed with the parents the possibility of removing the breathing tube. Medical professionals have repeatedly argued that this mechanical ventilation is contraindicated for his condition. This could cause serious harm or even death to the child.
However, doctors say the child should receive end-of-life care in case where he would cease to be able to breathe unaided, argues the hospital.
The maneuver is risky since it is likely to lead to his death, we can read in the judgment of the Superior Court of Quebec. The parents oppose it.
They understand the consequences of keeping their child intubated, but they fear above all that the maneuver will lead to his death.
< p class="e-p">In the court document, it is indicated that the reaction of the mother is particularly strong. Her faith in God leads her to hope that her child will emerge from the coma in which he is plunged, it is written. On the other hand, parents are skeptical about the motives of the hospital and they believe that the treatment is offered with a view to saving costs and burden on society.
The immersion of the child for about twenty minutes in the swimming pool caused an anoxo-ischemic encephalopathy which plunged him into a deep coma and caused major and permanent sequelae to the brain due to the prolonged lack of oxygen. The two MRIs performed in June and July confirmed the extent and permanence of the damage.
Today the five-year-old boy can breathe and move his eyelids . His Glasgow Recovery scale score fluctuates between 0 and 2, the lowest score, and reflects his vegetative state, the document points out.
L' hospital will not remove the breathing tube until the parents have had an opportunity to appeal the decision.
An attorney for the parents said they are considering the decision and have not yet decided whether they will appeal.
A child's parent or guardian can consent or refuse care, and must act in the sole interest of the child by respecting, as far as possible, the wishes he may have expressed. Unlike a person aged 18 or over, the parent cannot express a refusal that would be unjustified, taking into account the state of health of the child.