R D Truog

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint Should patients receive general anesthesia prior to extubation at the end of life?
    Robert D Truog
    Harvard Medical School, Children s Hospital Boston, Boston, MA, USA
    Crit Care Med 40:631-3. 2012
  2. ncbi request reprint Sudden traumatic death in children: "we did everything, but your child didn't survive"
    Robert D Truog
    Division of Critical Care Medicine, Children s Hospital Boston, Mass, USA
    JAMA 295:2646-54. 2006
  3. pmc Doing research on the ethics of doing research
    Robert D Truog
    Harvard Medical School, Department of Social Medicine, Division of Medical Ethics, Boston, MA 02115, USA
    Crit Care 11:111; discussion 111. 2007
  4. ncbi request reprint Do-not-resuscitate orders in the surgical setting
    Robert D Truog
    Department of Anesthesia, Children s Hospital Boston, and Harvard Medical School, Boston, MA 02115, USA
    Lancet 365:733-5. 2005
  5. ncbi request reprint Ethical assessment of pediatric research protocols
    Robert D Truog
    Department of Social Medicine, Harvard Medical School, 651 Huntington Avenue, 02115, Boston, MA, USA
    Intensive Care Med 34:198-202. 2008
  6. doi request reprint End-of-life decision-making in the United States
    R D Truog
    Children s Hospital Boston, Division of Critical Care Medicine, Department of Anesthesia, Boston, MA 02115, USA
    Eur J Anaesthesiol Suppl 42:43-50. 2008
  7. ncbi request reprint Results of a clinical trial on care improvement for the critically ill
    Jeffrey P Burns
    Department of Anesthesia, Harvard Medical School and Children s Hospital, Boston, MA USA
    Crit Care Med 31:2107-17. 2003
  8. ncbi request reprint Toward interventions to improve end-of-life care in the pediatric intensive care unit
    Robert D Truog
    Medical Ethics, Harvard Medical School, Boston, Massachusetts, USA
    Crit Care Med 34:S373-9. 2006
  9. ncbi request reprint End-of-life care in the pediatric intensive care unit: attitudes and practices of pediatric critical care physicians and nurses
    J P Burns
    Department of Anesthesia, Harvard Medical School, Children's Hospital, USA
    Crit Care Med 29:658-64. 2001
  10. doi request reprint The dead donor rule and organ transplantation
    Robert D Truog
    Department of Anesthesia, Harvard Medical School and Division of Critical Care Medicine, Children s Hospital Boston, USA
    N Engl J Med 359:674-5. 2008

Research Grants

  1. Toward Optimal End-of-Life Care in the PICU
    Robert Truog; Fiscal Year: 2007
  2. Toward Optimal End-of-Life Care in the PICU
    Robert Truog; Fiscal Year: 2009
  3. Toward Optimal End-of-Life Care in the PICU
    Robert Truog; Fiscal Year: 2010

Detail Information

Publications61

  1. doi request reprint Should patients receive general anesthesia prior to extubation at the end of life?
    Robert D Truog
    Harvard Medical School, Children s Hospital Boston, Boston, MA, USA
    Crit Care Med 40:631-3. 2012
    ..This approach would not be appropriate, however, for patients who place a higher value upon avoiding the risk of hastening death, even when this involves a greater risk of potential suffering...
  2. ncbi request reprint Sudden traumatic death in children: "we did everything, but your child didn't survive"
    Robert D Truog
    Division of Critical Care Medicine, Children s Hospital Boston, Mass, USA
    JAMA 295:2646-54. 2006
    ....
  3. pmc Doing research on the ethics of doing research
    Robert D Truog
    Harvard Medical School, Department of Social Medicine, Division of Medical Ethics, Boston, MA 02115, USA
    Crit Care 11:111; discussion 111. 2007
    ..On an entirely separate note, the decision of the authors not to obtain informed consent for this study itself raises interesting questions about the ethics of doing research on the ethics of doing research...
  4. ncbi request reprint Do-not-resuscitate orders in the surgical setting
    Robert D Truog
    Department of Anesthesia, Children s Hospital Boston, and Harvard Medical School, Boston, MA 02115, USA
    Lancet 365:733-5. 2005
  5. ncbi request reprint Ethical assessment of pediatric research protocols
    Robert D Truog
    Department of Social Medicine, Harvard Medical School, 651 Huntington Avenue, 02115, Boston, MA, USA
    Intensive Care Med 34:198-202. 2008
    ..S. regulations); and (b) the scientific value of the study for improving the care of future children must be sufficient to justify the sum of the net risks of the research interventions...
  6. doi request reprint End-of-life decision-making in the United States
    R D Truog
    Children s Hospital Boston, Division of Critical Care Medicine, Department of Anesthesia, Boston, MA 02115, USA
    Eur J Anaesthesiol Suppl 42:43-50. 2008
    ....
  7. ncbi request reprint Results of a clinical trial on care improvement for the critically ill
    Jeffrey P Burns
    Department of Anesthesia, Harvard Medical School and Children s Hospital, Boston, MA USA
    Crit Care Med 31:2107-17. 2003
    ..To develop, deploy, and evaluate an intervention designed to identify and mitigate conflict in decision making in the intensive care unit...
  8. ncbi request reprint Toward interventions to improve end-of-life care in the pediatric intensive care unit
    Robert D Truog
    Medical Ethics, Harvard Medical School, Boston, Massachusetts, USA
    Crit Care Med 34:S373-9. 2006
    ..These data are integrated and used to develop evidence-based suggestions for a variety of interventions that could be implemented and then evaluated for their potential contribution to improving the care of children dying in the PICU...
  9. ncbi request reprint End-of-life care in the pediatric intensive care unit: attitudes and practices of pediatric critical care physicians and nurses
    J P Burns
    Department of Anesthesia, Harvard Medical School, Children's Hospital, USA
    Crit Care Med 29:658-64. 2001
    ..More collaborative education and regular case review on bioethical issues are needed as part of standard practice in the intensive care unit...
  10. doi request reprint The dead donor rule and organ transplantation
    Robert D Truog
    Department of Anesthesia, Harvard Medical School and Division of Critical Care Medicine, Children s Hospital Boston, USA
    N Engl J Med 359:674-5. 2008
  11. doi request reprint A continuum for using placebo interventions in regional anesthesia and analgesia studies
    D B Waisel
    Department of Anesthesiology, Perioperative and Pain Medicine, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA
    Clin Pharmacol Ther 84:163-5. 2008
    ..This article reviews Beecher's contribution and how it should be applied to modern studies of perioperative analgesia...
  12. ncbi request reprint Improving the quality of end-of-life care in the pediatric intensive care unit: parents' priorities and recommendations
    Elaine C Meyer
    Medical Surgical Intensive Care Unit, Children s Hospital Boston, Boston, MA, USA
    Pediatrics 117:649-57. 2006
    ..The purpose of this study was to identify and describe the priorities and recommendations for end-of-life care and communication from the parents' perspective...
  13. ncbi request reprint 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?
    Stephen D Brown
    Department of Radiology, Children s Hospital, Boston, MA 02115, USA
    Pediatrics 117:1382-7. 2006
    ..We urge leaders from both disciplines to meet and seek consensus so that a common approach and language can guide treatment of the patients whom we share...
  14. ncbi request reprint Attitudes and preferences of intensivists regarding the role of family interests in medical decision making for incompetent patients
    George E Hardart
    Department of Anesthesia, Children s Hospital, Boston, MA, USA
    Crit Care Med 31:1895-900. 2003
    ..We sought to determine how physicians view the role of family interests in surrogate medical decision making...
  15. ncbi request reprint Refusal of hydration and nutrition: irrelevance of the "artificial" vs "natural" distinction
    Robert D Truog
    Department of Social Medicine, Harvard Medical School, 641 Huntington Avenue, Boston, MA 02115, USA
    Arch Intern Med 165:2574-6. 2005
  16. ncbi request reprint The truth about "donation after cardiac death"
    Robert D Truog
    Department of Social Medicine, Harvard Medical School, USA
    J Clin Ethics 17:133-6. 2006
  17. ncbi request reprint Difficult conversations in health care: cultivating relational learning to address the hidden curriculum
    David M Browning
    Institute for Professionalism and Ethical Practice, Children s Hospital, Boston, Massachusetts 02215, USA
    Acad Med 82:905-13. 2007
    ..By creating a curriculum and learning environment that explicitly embraces the moral experience of learners, the program's developers aim to exert a countercultural influence on the dehumanizing effects of the hidden curriculum...
  18. doi request reprint Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine
    Robert D Truog
    Harvard Medical School and Children s Hospital, Boston, MA, USA
    Crit Care Med 36:953-63. 2008
    ..S. perspective. They do not use an evidence grading system because most of the recommendations are based on ethical and legal principles that are not derived from empirically based evidence...
  19. doi request reprint Anesthesiology trainees face ethical, practical, and relational challenges in obtaining informed consent
    David B Waisel
    Harvard Medical School, and Department of Anesthesiology, Perioperative and Pain Medicine, Children s Hospital Boston, Massachusetts 02115, USA
    Anesthesiology 110:480-6. 2009
    ..This study investigated the trainees' perspectives and educational needs through a qualitative analysis of narratives...
  20. doi request reprint Difficult conversations: improving communication skills and relational abilities in health care
    Elaine C Meyer
    Division of Critical Care Medicine, Children s Hospital Boston, Boston, MA, USA
    Pediatr Crit Care Med 10:352-9. 2009
    ..Yet, corresponding educational opportunities are sorely underrepresented and undervalued...
  21. doi request reprint Anesthesiologist management of perioperative do-not-resuscitate orders: a simulation-based experiment
    David B Waisel
    Department of Anesthesiology, Perioperative and Pain Medicine, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA
    Simul Healthc 4:70-6. 2009
    ..This study was performed to assess perioperative reevaluation of Do-Not-Resuscitate (DNR) orders by practicing anesthesiologists...
  22. ncbi request reprint Informed consent: an end or a means? A response to Miller and Moreno
    Robert D Truog
    Medical Ethics and Anaesthesia, Harvard Medical School, Boston, USA
    J Clin Ethics 16:365-8; discussion 376-9. 2005
  23. ncbi request reprint Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictors
    David M Studdert
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
    Intensive Care Med 29:1489-97. 2003
    ..To determine types, sources, and predictors of conflicts among patients with prolonged stay in the ICU...
  24. ncbi request reprint Nature of conflict in the care of pediatric intensive care patients with prolonged stay
    David M Studdert
    Harvard School of Public Health, Boston, MA 02115, USA
    Pediatrics 112:553-8. 2003
    ..To determine the frequency, types, sources, and predictors of conflict surrounding the care of pediatric intensive care unit (PICU) patients with prolonged stay...
  25. ncbi request reprint A bridge to nowhere
    Christine Mitchell
    Office of Ethics, Boston Children s Hospital, USA
    J Clin Ethics 14:189. 2003
  26. ncbi request reprint Do-not-resuscitate order after 25 years
    Jeffrey P Burns
    Department of Anesthesia, Harvard Medical School, Boston, MA, USA
    Crit Care Med 31:1543-50. 2003
    ..Since that time, the concept has continued to evolve and evoke much debate. Indeed, few initials in medicine today evoke as much symbolism or controversy as the Do-Not-Resuscitate (DNR) order...
  27. ncbi request reprint Will ethical requirements bring critical care research to a halt?
    Robert D Truog
    Harvard Medical School, Boston, Massachusetts, 02115, USA
    Intensive Care Med 31:338-44. 2005
  28. ncbi request reprint Decision making and satisfaction with care in the pediatric intensive care unit: findings from a controlled clinical trial
    Michelle M Mello
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    Pediatr Crit Care Med 5:40-7. 2004
    ..To facilitate critical decision making and improve satisfaction with care among families of patients in a pediatric intensive care unit...
  29. ncbi request reprint Guidelines for perioperative do-not-resuscitate policies
    David B Waisel
    Department of Anesthesiology, Bader 3, Children s Hospital, 300 Longwood Avenue, Boston, MA 02115, USA
    J Clin Anesth 14:467-73. 2002
    ..Policies should unambiguously state that reevaluation is required, delineate responsibilities for reevaluating the DNR order, state all the available options, define the necessary documentation, and list resources for help...
  30. ncbi request reprint Respiratory support in spinal muscular atrophy type I: a survey of physician practices and attitudes
    M Kathleen Moynihan Hardart
    Department of Anesthesia and Critical Care, Children s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
    Pediatrics 110:e24. 2002
    ....
  31. ncbi request reprint Parental perspectives on end-of-life care in the pediatric intensive care unit
    Elaine C Meyer
    Department of Psychiatry, Harvard Medical School, Children s Hospital, Boston, MA 02115 5724, USA
    Crit Care Med 30:226-31. 2002
    ..To identify priorities for quality end-of-life care from the parents' perspective...
  32. doi request reprint Assumptions and blind spots in patient-centredness: action research between American and Italian health care professionals
    Giulia Lamiani
    Division of Critical Care Medicine, Institute for Professionalism and Ethical Practice, Children s Hospital Boston, Boston, Massachusetts, USA
    Med Educ 42:712-20. 2008
    ..To examine how patient-centredness is understood and enacted in an American (US) and an Italian group of health care professionals...
  33. ncbi request reprint Reflections on love, fear, and specializing in the impossible
    David M Browning
    Institute for Professionalism and Ethical Practice, Children s Hospital, Boston, USA
    J Clin Ethics 18:373-6. 2007
  34. ncbi request reprint Brain death - too flawed to endure, too ingrained to abandon
    Robert D Truog
    Department of Medical Ethics, Anesthesia, and Pediatrics at Harvard Medical School, Boston, MA, USA
    J Law Med Ethics 35:273-81. 2007
    ..Even so, the author concludes that neither of these approaches is likely to be adopted and that resolution will most probably come when technological advances in immunology simply make the concept of brain death obsolete...
  35. ncbi request reprint Tackling medical futility in Texas
    Robert D Truog
    Department of Anesthesia at Harvard Medical School and the Division of Critical Care Medicine at Children s Hospital Boston, Boston, USA
    N Engl J Med 357:1-3. 2007
  36. ncbi request reprint Role of brain death and the dead-donor rule in the ethics of organ transplantation
    Robert D Truog
    Department of Anesthesiology, Harvard Medical School, Cambridge, MA, USA
    Crit Care Med 31:2391-6. 2003
    ..Finally, we point out parallel developments, both domestically and abroad, that reflect both implicit and explicit support for our proposal...
  37. doi request reprint Consent for organ donation--balancing conflicting ethical obligations
    Robert D Truog
    Department of Anesthesia and Social Medicine at Harvard Medical School and the Division of Critical Care Medicine at Children s Hospital Boston, Boston, USA
    N Engl J Med 358:1209-11. 2008
  38. pmc Spinal muscular atrophy--type I
    M K M Hardart
    Department of Anesthesia, Children s Hospital, Harvard Medical School, Boston, MA, USA
    Arch Dis Child 88:848-50. 2003
  39. ncbi request reprint Dying patients as research subjects
    Robert D Truog
    Division of Critical Care Medicine, Children s Hospital Boston, Harvard Medical School, USA
    Hastings Cent Rep 33:3. 2003
  40. ncbi request reprint Are organs personal property or a societal resource?
    Robert D Truog
    Harvard Medical School, USA
    Am J Bioeth 5:14-6. 2005
  41. ncbi request reprint Futility: a concept in evolution
    Jeffrey P Burns
    Division of Critical Care Medicine, Department of Anesthesia, Children s Hospital Boston and Harvard Medical School, Boston, MA 02115, USA
    Chest 132:1987-93. 2007
    ....
  42. ncbi request reprint Rationing in the intensive care unit
    Robert D Truog
    Professor of Medical Ethics and Anesthesia Pediatrics, Harvard Medical School, Senior Associate in Critical Care Medicine, Children s Hospital, Boston, MA, USA
    Crit Care Med 34:958-63; quiz 971. 2006
    ..quot; Although some have maintained that rationing of health care is unethical, we argue that rationing is not only unavoidable but essential to ensuring the ethical distribution of medical goods and services...
  43. ncbi request reprint Soliciting organs on the Internet
    Robert D Truog
    Harvard Medical School, Boston, MA, USA
    Med Ethics (Burlingt Mass) 12:5-8. 2005
  44. ncbi request reprint New and lingering controversies in pediatric end-of-life care
    Mildred Z Solomon
    Center for Applied Ethics and Professional Practice, Education Development Center, Newton, MA 02458, USA
    Pediatrics 116:872-83. 2005
    ....
  45. ncbi request reprint End-of-life care: is euthanasia the answer?
    Robert D Truog
    Intensive Care Med 32:6-8. 2006
  46. doi request reprint An apology for Socratic bioethics
    Franklin G Miller
    Department of Bioethics, National Institutes of Health, Building 10, Room 1C118, Bethesda, MD 20892 1156, USA
    Am J Bioeth 8:3-7. 2008
    ..In this article we explore tensions between these two dimensions of bioethics and examine the merits and perils of a "Socratic" approach to bioethics that challenges "the conventional wisdom."..
  47. ncbi request reprint Variability in end-of-life care--how much is too much?
    Robert D Truog
    Pediatr Crit Care Med 6:368-9. 2005
  48. ncbi request reprint International differences in end-of-life attitudes in the intensive care unit: results of a survey
    Arino Yaguchi
    Department of Intensive Care Medicine, Erasme Hospital, Free University of Brussels, Brussels, Belgium
    Arch Intern Med 165:1970-5. 2005
    ..Important international differences exist in attitudes toward end-of-life issues in the intensive care unit...
  49. ncbi request reprint Organ donation without brain death?
    Robert D Truog
    Harvard Medical School and Childrens Hospital Boston, USA
    Hastings Cent Rep 35:3. 2005
  50. ncbi request reprint Practicing physicians and the role of family surrogate decision making
    George E Hardart
    Clinical Pediatrics, Columbia University College of Physicians and Surgeons, New York, USA
    J Clin Ethics 16:345-54. 2005
  51. ncbi request reprint The controversy over artificial hydration and nutrition
    Thomas Cochrane
    Neurology 68:391; author reply 392. 2007
  52. ncbi request reprint Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care Workgroup
    Richard A Mularski
    Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA
    Crit Care Med 34:S404-11. 2006
    ..The proposed measures are intended to stimulate further discussion, testing, and refinement for quality of care measurement and enhancement...
  53. ncbi request reprint Excerpts from the ethics consult report: MT
    Christine Mitchell
    J Clin Ethics 15:302-6. 2004
  54. ncbi request reprint Futility--from hospital policies to state laws
    Robert D Truog
    Children s Hospital Boston and Harvard Medical School, USA
    Am J Bioeth 6:19-21; discussion W30-2. 2006
  55. ncbi request reprint The ethical conduct of clinical research involving critically ill patients in the United States and Canada: principles and recommendations
    John M Luce
    Am J Respir Crit Care Med 170:1375-84. 2004
  56. ncbi request reprint The ethics of organ donation by living donors
    Robert D Truog
    Department of Social Medicine at the Harvard Medical School and the Division of Critical Care Medicine at Children s Hospital Boston, USA
    N Engl J Med 353:444-6. 2005
  57. ncbi request reprint Organ donation after cardiac death: what role for anesthesiologists?
    Robert D Truog
    Anesthesiology 98:599-600. 2003
  58. ncbi request reprint Appropriate use of artificial nutrition and hydration
    Thomas I Cochrane
    N Engl J Med 354:1320-1; author reply 1320-1. 2006
  59. doi request reprint Physicians and execution--highlights from a discussion of lethal injection
    Atul Gawande
    Harvard Medical School, Boston, USA
    N Engl J Med 358:448-51. 2008
  60. doi request reprint Not euthanasia, simply compassionate clinical care
    Robert D Truog
    Crit Care Med 36:1387-8; author reply 1389. 2008
  61. ncbi request reprint Increasing the participation of children in clinical research
    Robert D Truog
    Intensive Care Med 31:760-1. 2005

Research Grants5

  1. Toward Optimal End-of-Life Care in the PICU
    Robert Truog; Fiscal Year: 2007
    ....
  2. Toward Optimal End-of-Life Care in the PICU
    Robert Truog; Fiscal Year: 2009
    ....
  3. Toward Optimal End-of-Life Care in the PICU
    Robert Truog; Fiscal Year: 2010
    ....