Research Topics
| Robert D TruogSummaryAffiliation: Harvard University Country: USA Publications
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Detail Information
Publications
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- Practicing physicians and the role of family surrogate decision makingGeorge E Hardart
Clinical Pediatrics, Columbia University College of Physicians and Surgeons, New York, USA
J Clin Ethics 16:345-54. 2005 
Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care MedicineRobert 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...- Informed consent: an end or a means? A response to Miller and MorenoRobert D Truog
Medical Ethics and Anaesthesia, Harvard Medical School, Boston, USA
J Clin Ethics 16:365-8; discussion 376-9. 2005 - 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 - Refusal of hydration and nutrition: irrelevance of the "artificial" vs "natural" distinctionRobert D Truog
Department of Social Medicine, Harvard Medical School, 641 Huntington Avenue, Boston, MA 02115, USA
Arch Intern Med 165:2574-6. 2005 - Nature of conflict in the care of pediatric intensive care patients with prolonged stayDavid 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... - Decision making and satisfaction with care in the pediatric intensive care unit: findings from a controlled clinical trialMichelle 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... - Toward interventions to improve end-of-life care in the pediatric intensive care unitRobert 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... - Improving the quality of end-of-life care in the pediatric intensive care unit: parents' priorities and recommendationsElaine 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... - Tackling medical futility in TexasRobert 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 - Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictorsDavid 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... - Assumptions and blind spots in patient-centredness: action research between American and Italian health care professionalsGiulia 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... - Anesthesiology trainees face ethical, practical, and relational challenges in obtaining informed consentDavid 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... - Reflections on love, fear, and specializing in the impossibleDavid M Browning
Institute for Professionalism and Ethical Practice, Children's Hospital, Boston, USA
J Clin Ethics 18:373-6. 2007 - Do-not-resuscitate order after 25 yearsJeffrey P Burns
Department of Anesthesia, Harvard Medical School, Boston, MA, USA
Crit Care Med 31:1543-50. 2003..The DNR order, then, remains an inducement to seek the informed patient's directive... - Difficult conversations in health care: cultivating relational learning to address the hidden curriculumDavid 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... - 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... - Difficult conversations: improving communication skills and relational abilities in health careElaine 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... - Attitudes and preferences of intensivists regarding the role of family interests in medical decision making for incompetent patientsGeorge E Hardart
Department of Anesthesia, Children's Hospital, Boston, MA, USA
Crit Care Med 31:1895-900. 2003..Our findings suggest that the traditional view of the physician-patient relationship may represent an overly simplistic model for medical decision making... - 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... - Consent for organ donation--balancing conflicting ethical obligationsRobert 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 - Futility: a concept in evolutionJeffrey 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.... - Do-not-resuscitate orders in the surgical settingRobert D Truog
Department of Anesthesia, Children's Hospital Boston, and Harvard Medical School, Boston, MA 02115, USA
Lancet 365:733-5. 2005 - A bridge to nowhereChristine Mitchell
Office of Ethics, Boston Children's Hospital, USA
J Clin Ethics 14:189. 2003 - 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.... 
"I was able to still be her mom"--parenting at end of life in the pediatric intensive care unitSarah A McGraw
Center for Applied Ethics, Education Development Center, Department of Anesthesiology, Children s Hospital Boston, Harvard Medical School, Boston, MA, USA
Pediatr Crit Care Med 13:e350-6. 2012..This article examines how parents of children dying in the pediatric intensive care unit understood their role and discusses implications for clinical care and policy...- Doing research on the ethics of doing researchRobert 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... - Brain death - too flawed to endure, too ingrained to abandonRobert 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... - Rationing in the intensive care unitRobert 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..Additional work is needed to elucidate how both empirical evidence and ethical analysis can further inform the rationing decisions that arise in the taxonomy described here... - Are organs personal property or a societal resource?Robert D Truog
Harvard Medical School, USA
Am J Bioeth 5:14-6. 2005 - "What would you do if this were your child?": practitioners' responses during enacted conversations in the United StatesElaine C Meyer
Department of Anaethesia, Institute for Professionalism and Ethical Practice, Children s Hospital Boston, Boston, MA, USA
Pediatr Crit Care Med 13:e372-6. 2012..To explore how practitioners in the United States respond to the question "What would you do if this were your child?" during realistic enactments with professional actors... - Role of brain death and the dead-donor rule in the ethics of organ transplantationRobert 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... - Ethical assessment of pediatric research protocolsRobert 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... - Soliciting organs on the InternetRobert D Truog
Harvard Medical School, Boston, MA, USA
Med Ethics 12:5-8. 2005 - Anesthesiologist management of perioperative do-not-resuscitate orders: a simulation-based experimentDavid 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... - Guidelines for perioperative do-not-resuscitate policiesDavid 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... - Physicians and execution--highlights from a discussion of lethal injectionAtul Gawande
Harvard Medical School, Boston, USA
N Engl J Med 358:448-51. 2008 - Respiratory support in spinal muscular atrophy type I: a survey of physician practices and attitudesM Kathleen Moynihan Hardart
Department of Anesthesia and Critical Care, Children s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Pediatrics 110:e24. 2002.... - Parental perspectives on end-of-life care in the pediatric intensive care unitElaine 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... - Dying patients as research subjectsRobert D Truog
Division of Critical Care Medicine, Children's Hospital Boston, Harvard Medical School, USA
Hastings Cent Rep 33:3. 2003 - Results of a clinical trial on care improvement for the critically illJeffrey P Burns
Department of Anesthesia, Harvard Medical School and Children's Hospital, Boston, MA. USA
Crit Care Med 31:2107-17. 2003..The lessons learned from the experience with this intervention should be helpful in ongoing efforts to improve care and to achieve outcomes desired by critically ill patients, their families, and critical care clinicians... - An apology for Socratic bioethicsFranklin 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.".. - The ethical conduct of clinical research involving critically ill patients in the United States and Canada: principles and recommendationsJohn M Luce
Am J Respir Crit Care Med 170:1375-84. 2004 - Excerpts from the ethics consult report: MTChristine Mitchell
J Clin Ethics 15:302-6. 2004 - The dead donor rule and organ transplantationRobert 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 - Variability in end-of-life care--how much is too much?Robert D Truog
Pediatr Crit Care Med 6:368-9. 2005 - Organ donation without brain death?Robert D Truog
Harvard Medical School and Childrens Hospital Boston, USA
Hastings Cent Rep 35:3. 2005 - Futility--from hospital policies to state lawsRobert D Truog
Children's Hospital Boston and Harvard Medical School, USA
Am J Bioeth 6:19-21; discussion W30-2. 2006 - New and lingering controversies in pediatric end-of-life careMildred Z Solomon
Center for Applied Ethics and Professional Practice, Education Development Center, Newton, MA 02458, USA
Pediatrics 116:872-83. 2005.... - Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care WorkgroupRichard 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... - The controversy over artificial hydration and nutritionThomas Cochrane
Neurology 68:391; author reply 392. 2007 - International differences in end-of-life attitudes in the intensive care unit: results of a surveyArino Yaguchi
Department of Intensive Care Medicine, Erasme Hospital, Free University of Brussels, Brussels, Belgium
Arch Intern Med 165:1970-5. 2005..Substantial work remains if an international consensus on these issues is to be reached... - End-of-life care: is euthanasia the answer?Robert D Truog
Intensive Care Med 32:6-8. 2006 - Not euthanasia, simply compassionate clinical careRobert D Truog
Crit Care Med 36:1387-8; author reply 1389. 2008 - Organ donation after cardiac death: what role for anesthesiologists?Robert D Truog
Anesthesiology 98:599-600. 2003 - The ethics of organ donation by living donorsRobert 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 - Appropriate use of artificial nutrition and hydrationThomas I Cochrane
N Engl J Med 354:1320-1; author reply 1320-1. 2006 - Increasing the participation of children in clinical researchRobert D Truog
Intensive Care Med 31:760-1. 2005