"FlyingBird
In the official withdrawal of care plan that TE posted today, he didn't actually redact one of the times mentioned even though that info was specifically blocked from being reported hmm
He's blacked out the time the withdrawal is due to start, from what I can see, but there's clearly another time stated further down on which the next part of the process will happen. So it's v easy to guess at roughly what time Alfie would die going by that."
"Ollivander84
They don't seem to see that life support is = when removed he will die
Whether he's given drugs or not. And midazolam is only used to murder. Funnily I've had it twice and I'm still alive, and I would much rather have that than be struggling off life support with no intervention.."
Just a couple of points here, but withdrawal of life support isn't all that neat and tidy. The speed at which a patient will succumb to their illness will depend on what that illness is, and the reason for their life-supportive measures being in place.
If someone has life-threateningly low blood pressure and pneumonia, then yes, the likelihood is that as soon as you withdraw the vasopressors that maintain their blood pressure at a level that will perfuse their major organs, and withdraw the ventilation that forces air into the lungs and blows off the CO2 waste gases, that patient will die. However, if a patient is fairly healthy, biologically, but requires supportive measures due to poor neurological function, they have preserved respiratory function. The respiratory centre is in the brain stem, which is the very lowest area of the brain above the spine. Even with terrible brain damage, people can have an intact brain stem, which is why patients who are completely unresponsive sometimes have brain-stem death testing, to establish whether they are brain-stem dead, or alive.
Secondly, we can't 'terminate life', 'kill' or 'off' patients. We can:
-withdraw therapy that is judged to be of no benefit to the patient, or to be harmful to the patient, even if that withdrawal will lead to their death.
-withhold therapy that is judged to be of no benefit, or where the distress, pain or suffering caused by the therapy is deemed to be not in the best interests of the patient, even if there is a slim chance that the therapy may work.
-set a 'ceiling of care' for a patient, on the basis of what is in their best interests, at which treatment will not further escalate.
That means that the child in question would not be given a drug that would stop him from breathing when ventilation was withdrawn, and if ventilation is being given with a paralysing agent, that would be weaned off before he was moved off of ventilation.