Drs Pringl Miller, Preeti John, and Sabha Ganai join Ethics Talk to discuss their article: “How Should Surgical Palliative Success Be Defined?”

Dr Myrick C. Shinall, Jr joins Ethics Talk to discuss his article: “Aren’t Surgery and Palliative Care Kind of Opposites?”

Drs Michael Young, Robert Regenhardt, and Leonard Sokol join Ethics Talk to discuss their article, coauthored with Dr Thabele Leslie-Mazwi: "When Should Neuroendovascular Care for Patients With Acute Stroke Be Palliative?"

No single person should make decisions about for whom or according to which criteria palliative surgery is clinically and ethically appropriate.

Shared decision making is complex with patients who are adolescents, whose relational autonomy is still emerging.

Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.

Refusal of pediatric euthanasia can be considered iatrogenic insofar as it inadvertently prolongs patient suffering, but attitudes differ cross-culturally.

Moral distress can be reduced by approaching the patient-physician relationship with empathy and humility, which foster trust and good communication.

When ventilator support is being withdrawn from a dying child, responsive titration of sedative medications by the ICU team can relieve suffering without anesthetizing the child completely or hastening death.

An exploration of what could have been done to help the immigrant family of a severely ill child with his care.