Publications by authors named "Maya Dahan"
Aim: Current literature favours individualised decision making, an approach that requires understanding patients within their context and tailoring treatment and recommendations to their unique needs. In neonatology, family context becomes synonymous with patient context. In the neonatal intensive care unit (NICU), the team may be challenged to understand the intricacies of the family context, paramount for both families and clinicians.
View Article and Find Full Text PDFArticle Synopsis
- The NICU creates a unique language and culture that can be challenging for parents, introducing them to their infants and the complexities of parenthood in a highly emotional environment.
- While most neonatal ethics literature addresses major ethical dilemmas, there is a lack of focus on everyday interactions (microethics) that occur between families and clinicians, especially regarding language and communication about patient care.
- This paper emphasizes the importance of precise language when discussing long-term neurodevelopmental outcomes, outlines the neuroscience of language processing, and suggests ways to enhance communication between clinicians and families of critically ill newborns.
Decision-making in fetal cardiology is fraught with ethical issues yet education in bioethics for trainees is limited or nonexistent. In this innovation report, we describe the development of a fetal cardiology bioethics curriculum designed to address this gap. The curriculum was developed to supplement the core curriculum for cardiology fellows and fetal cardiology subspecialty trainees.
View Article and Find Full Text PDFEnabling individualized decision-making for patients requires an understanding of the family context (FC) by healthcare providers. The FC is everything that makes the family unique, from their names, preferred pronouns, family structure, cultural or religious beliefs, and family values. While there is an array of approaches for individual clinicians to incorporate the FC into practice, there is a paucity of literature guiding the process of collecting and integrating the FC into clinical care by multidisciplinary interprofessional teams.
View Article and Find Full Text PDFAcute Critical Event Debriefing (ACED) after cardiopulmonary arrests should be the standard of care. However, little literature exists on how to implement performance-focused ACED in healthcare. Based on a series of successful ACED implementations in a variety of our settings, we describe key learnings and propose best practices to aid clinicians and organizations in establishing a successful ACED program.
View Article and Find Full Text PDFArticle Synopsis
- * Researchers reviewed 28 studies involving 820 neonates and found that about 40% survived, with survival rates improving by approximately 2.3% each year, particularly benefiting from therapeutic hypothermia and being born at a gestational age of 32 weeks or more.
- * Overall, the findings indicate that while 2 out of 5 neonates with a 10-minute Apgar score of zero survive, only 1 out of 5 live without significant neurodevelopmental issues, showing
Neonatal research outcomes: the ethical imperative to change attitudes.
Lancet Child Adolesc Health
July 2022
CLABSI Risk Factors in the NICU: Potential for Prevention: A PICNIC Study.
Infect Control Hosp Epidemiol
December 2016
OBJECTIVE Central-line-associated bloodstream infections (CLABSI) are an important cause of morbidity and mortality in neonates. We aimed to determine whether intra-abdominal pathologies are an independent risk factor for CLABSI. METHODS We performed a retrospective matched case-control study of infants admitted to the neonatal intensive care units (NICUs) of the Montreal Children's Hospital (Montreal) and the Royal Alexandra Hospital, Edmonton, Canada.
View Article and Find Full Text PDF