<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522023000600243</article-id>
<article-id pub-id-type="doi">10.35366/117394</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Toma de decisiones en cuidados intensivos pediátricos]]></article-title>
<article-title xml:lang="en"><![CDATA[Decision-making in pediatric intensive care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garduño-Espinosa]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Gutiérrez]]></surname>
<given-names><![CDATA[Ixel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[San Martín-Corona]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Lucas]]></surname>
<given-names><![CDATA[María Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chico-Aldama]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Pediatría Departamento de Soporte para la Calidad de Vida ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>90</volume>
<numero>6</numero>
<fpage>243</fpage>
<lpage>250</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522023000600243&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522023000600243&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522023000600243&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La toma de decisiones en unidades de cuidados intensivos pediátricos (UCIP) en muchas ocasiones se dificulta cuando la evolución se torna desfavorable, surgen dudas e incluso dilemas por lo que es necesario que el médico tratante cuente con competencias para realizar una comunicación efectiva con los familiares. Efectuar una reflexión y deliberación bioética le permitirá tomar decisiones más satisfactorias, en particular para brindar cuidados paliativos. En este artículo se presenta información que puede resultar de utilidad para la atención de pacientes pediátricos atendidos en UCIP.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Decision-making in pediatric intensive care units (PICUs) is often difficult when the patient&#8217;s progress becomes unfavorable, giving rise to doubts and dilemmas. Therefore, it is necessary for the attending physician to have the skills to communicate effectively with family members. When intensivist physicians engage in bioethical reflection and deliberation it may allow them to make more satisfactory decisions, particularly to provide palliative care. This article presents information that may be useful for the care of pediatric patients treated in the ICU.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dilemas éticos]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[limitación del sostén vital]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="en"><![CDATA[ethical dilemmas]]></kwd>
<kwd lng="en"><![CDATA[intensive care]]></kwd>
<kwd lng="en"><![CDATA[life support limitation]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vera-Carrasco]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adecuación del esfuerzo terapéutico en medicina crítica y terapia intensiva]]></article-title>
<source><![CDATA[Rev Med La Paz]]></source>
<year>2013</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>78-90</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Estella]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Saralegui]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Rubio]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Tejedor]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[CV]]></given-names>
</name>
<name>
<surname><![CDATA[Cabré]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Puesta al día y recomendaciones en la toma de decisiones de limitación de tratamientos de soporte vital]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2020</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>101-12</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villazón-Sahagún]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Límites de actuación en el enfermo grave]]></article-title>
<source><![CDATA[Gac Med Mex]]></source>
<year>1968</year>
<volume>124</volume>
<page-range>451-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cherem]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
</person-group>
<source><![CDATA[Dr. Horacio Jinich-Brook Z&#8221;L, médico humanista; uno de los educadores médicos más importantes en México y el mundo. Diario de la Vida Judía de México y el Mundo]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gherardi]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Encarnizamiento terapéutico y muerte digna. Mitos y realidades. Medicina (B]]></article-title>
<source><![CDATA[Aires)]]></source>
<year>1998</year>
<volume>58</volume>
<page-range>755-2</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schneiderman]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Jecker]]></surname>
<given-names><![CDATA[NS]]></given-names>
</name>
<name>
<surname><![CDATA[Jonsen]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical futility: its meaning and ethical implications]]></article-title>
<source><![CDATA[Ann Intern Med]]></source>
<year>1990</year>
<volume>112</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>949-54</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tyson]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[Stoll]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ética basada en la evidencia, asistencia y evolución de los muy prematuros]]></article-title>
<source><![CDATA[Clin Perinatol]]></source>
<year>2003</year>
<volume>2</volume>
<page-range>355-80</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bosslet]]></surname>
<given-names><![CDATA[GT]]></given-names>
</name>
<name>
<surname><![CDATA[Pope]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Rubenfeld]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
<name>
<surname><![CDATA[Lo]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Truog]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Rushton]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An Official ATS/AACN/ACCP/ESICM/SCCM policy statement: responding to requests for potentially inappropriate treatments in intensive care units]]></article-title>
<source><![CDATA[Am J Respir Crit Care Med]]></source>
<year>2015</year>
<volume>191</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1318-30</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grinberg]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Tripodoro]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Futilidad médica y obstinación familiar en terapia intensiva: ¿Hasta cuándo seguir y cuándo parar?]]></article-title>
<source><![CDATA[Medicina (B. Aires)]]></source>
<year>2017</year>
<volume>77</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>491-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Estella]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rubi de]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Monzón]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pacientes críticos al final de la vida: estudio multicéntrico en unidades de cuidados intensivos españolas]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2016</year>
<volume>40</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>448-50</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Monzón]]></surname>
<given-names><![CDATA[MLJ]]></given-names>
</name>
<name>
<surname><![CDATA[Saralegui]]></surname>
<given-names><![CDATA[RI]]></given-names>
</name>
<name>
<surname><![CDATA[Abizanda]]></surname>
<given-names><![CDATA[ICR]]></given-names>
</name>
<name>
<surname><![CDATA[Cabré]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Iribarren]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[DCM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recomendaciones de tratamiento al final de la vida del paciente crítico]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2008</year>
<volume>32</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>121-33</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vera]]></surname>
<given-names><![CDATA[CO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dilemas bioéticos en unidades de cuidados intensivos]]></article-title>
<source><![CDATA[Rev Med La Paz]]></source>
<year>2010</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>50-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palomeque]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cuidados intensivos y cuidados paliativos]]></article-title>
<source><![CDATA[An Pediatr (Barc)]]></source>
<year>2005</year>
<volume>62</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>409-11</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[QX]]></given-names>
</name>
<name>
<surname><![CDATA[Chavarro]]></surname>
<given-names><![CDATA[DAC]]></given-names>
</name>
<name>
<surname><![CDATA[Sarmiento]]></surname>
<given-names><![CDATA[GMP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Una mirada general a los cuidados paliativos en niños. Sociedad Colombiana de Pediatría]]></article-title>
<source><![CDATA[Precop Scp]]></source>
<year>2020</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kraus]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Es lo mismo retirar tratamientos médicos que no iniciarlos?]]></article-title>
<source><![CDATA[Nexos]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quesada]]></surname>
<given-names><![CDATA[TL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Derechos humanos y cuidados paliativos]]></article-title>
<source><![CDATA[Rev Med Hondur]]></source>
<year>2008</year>
<volume>76</volume>
<page-range>39-43</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sprung]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
<name>
<surname><![CDATA[Truog]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Curtis]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Joynt]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Baras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Michalsen]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Seeking worldwide professional consensus on the principles of end-of-life care for the critically ill. The Consensus for Worldwide End-of-Life Practice for Patients in Intensive Care Units (WELPICUS) study]]></article-title>
<source><![CDATA[Am J Respir Crit Care Med]]></source>
<year>2014</year>
<volume>190</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>855-66</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="">
<source><![CDATA[Los límites de la futilidad, comunicación y toma de decisiones en contexto de Unidad de Cuidados Intensivos Neonatales: Reflexiones desde la Bioética - Butlletí de Bioètica de Catalunya, 2017. Conference: XI Jornada CEAS de Catalunya]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kraus]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Futilidad en Medicina]]></source>
<year>2015</year>
<publisher-name><![CDATA[Nexos]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-Pérez]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adecuación del esfuerzo terapéutico, una estrategia al final de la vida]]></article-title>
<source><![CDATA[Semergen]]></source>
<year>2016</year>
<volume>42</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>566-74</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hanna]]></surname>
<given-names><![CDATA[RV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obstinación terapéutica y su límite con la ética: cuando detenerse]]></article-title>
<source><![CDATA[Rev Chil Anest]]></source>
<year>2021</year>
<volume>50</volume>
<page-range>252-68</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garduño]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[LMC]]></given-names>
</name>
<name>
<surname><![CDATA[Fakhr El Din]]></surname>
<given-names><![CDATA[IPE]]></given-names>
</name>
<name>
<surname><![CDATA[Barrientos]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bioética en la fase terminal]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Véliz-Pintos]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<source><![CDATA[Bioética y Humanismo para pediatría]]></source>
<year>2018</year>
<page-range>372</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Graphimedic]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<collab>Ley General de Salud</collab>
<article-title xml:lang=""><![CDATA[Título octavo Bis. De los cuidados paliativos a enfermos en situación terminal. Artículo 166 Bis]]></article-title>
<source><![CDATA[Justia]]></source>
<year>2023</year>
<page-range>59</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="">
<source><![CDATA[¿Qué es la lex artis ad hoc? Gob.mx]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="">
<source><![CDATA[Artículo 9o. Reglamento de la Ley General de Salud en Materia de Prestación de Servicios de Atención Médica]]></source>
<year>2018</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B26">
<label>6</label><nlm-citation citation-type="book">
<collab>Wikipedia contributors</collab>
<source><![CDATA[Zoroastrismo]]></source>
<year></year>
<publisher-name><![CDATA[Wikipedia, The Free Encyclopedia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Savater]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[El valor de elegir]]></source>
<year>2000</year>
<page-range>41</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Ariel]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garduño]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[LMC]]></given-names>
</name>
<name>
<surname><![CDATA[Manrique]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Garduño]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
</person-group>
<source><![CDATA[Ética y bioética para profesionales de la Salud. Análisis ético en casos difíciles]]></source>
<year></year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Corinter]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="">
<source><![CDATA[Charlie Gard: ni eutanasia ni encarnizamiento terapéutico. Teología y Espiritualidad. Mensaje]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="book">
<collab>Wikipedia contributors</collab>
<source><![CDATA[Alfie Evans]]></source>
<year></year>
<publisher-name><![CDATA[Wikipedia, The Free Encyclopedia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guimón]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Muere Alfie Evans, el bebé en el centro de una batalla legal en Reino Unido]]></source>
<year>2018</year>
<publisher-name><![CDATA[El País]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Battaglia]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Declaración de Barcelona y los nuevos principios de la bioética]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
</person-group>
<source><![CDATA[Ética. 64a reimpresión]]></source>
<year>2003</year>
<page-range>157</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Grijalbo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laín-Entralgo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[La relación médico-enfermo: historia y teoría]]></source>
<year>1964</year>
<page-range>20</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Revista de Occidente]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
