About Robert Truog

Dr. Truog is the Principal Investigator on an NIH RO1 grant, developed in collaboration with Dr. Millie Solomon and the Education Department Center. The protocol initially involved the development of tools to evaluate the quality of end-of-life care in the pediatric ICU setting. These tools will then be used to examine the outcomes of fifty consecutive deaths occurring in each of eight geographically dispersed pediatric intensive care units. The study will run over four years, from 2005 - 2009. Robert Truog’s research focuses on topics in bioethics. 

Research Overview

Recent areas of interest include: Improving end-of-life care in pediatric critical care medicine: He recently completed a 5 year NIH funded study that developed tools to evaluate the quality of end-of-life care in the pediatric ICU. These tools were then used to investigate both qualitative and quantitative aspects of fifty consecutive deaths occurring in each of eight geographically dispersed pediatric ICUs, from the perspectives of parents, patients, and clinicians. Disclosure and apology following adverse events and medical errors: He is engaged in research to improve the skills of clinicians in communicating with patients and families after adverse events and medical errors, and is lead author on a recent book devoted to this topic. Ethical issues in organ transplantation: He is actively engaged in research on a variety of questions related to organ transplantation, including controversies surrounding the determination of death, the dead donor rule, organ procurement after circulatory determination of death, and the process of obtaining informed consent for organ donation. 

Allocation of resources: He has a longstanding interest in the topic of medical futility, and problems surrounding the allocation of scarce resources and rationing, particularly in critical care medicine. Ethics in clinical research: He is interested in many ethical aspects of clinical research, including placebo controlled trials, first-in-human and phase 1 research, ethical issues in randomized controlled trials, and ethical standards for procuring tissue from patients for research. Improving communication and relational skills in medical practice: For over ten years he as worked with a team of researchers and educators in the Institute for Professionalism and Ethical Practice to explore ethical aspects of the patient / physician relationship, particularly as they arise in the context of difficult conversations in healthcare.

Researcher Services

Researcher Areas

  • Informed Consent
  • Organ Transplantation
  • Medical Futility
  • Rationing Stem Cell Research
  • End-of-Life Care

Research Departments

Research Divisions

PUBLICATIONS

Publications powered by Harvard Catalyst Profiles

  1. Truog RD. Defining Death-Making Sense of the Case of Jahi McMath. JAMA. 2018 Apr 09. View abstract
  2. Quill TE, Ganzini L, Truog RD, Pope TM. Voluntarily Stopping Eating and Drinking Among Patients With Serious Advanced Illness-Clinical, Ethical, and Legal Aspects. JAMA Intern Med. 2018 Jan 01; 178(1):123-127. View abstract
  3. Truog RD. The Concept of Futility: Recognizing the Importance of Context. Perspect Biol Med. 2018; 60(3):428-432. View abstract
  4. Alame D, Truog RD. How Should Clinicians Weigh the Benefits and Harms of Discussing Politicized Topics that Influence Their Individual Patients' Health? AMA J Ethics. 2017 Dec 01; 19(12):1174-1182. View abstract
  5. Linecker M, Krones T, Berg T, Niemann CU, Steadman RH, Dutkowski P, Clavien PA, Busuttil RW, Truog RD, Petrowsky H. Potentially inappropriate liver transplantation in the era of the "sickest first" policy - A search for the upper limits. J Hepatol. 2017 Nov 11. View abstract
  6. Truog RD. Pediatric Donation After Circulatory Determination of Death: Canadian Guidelines Define Parameters of Consensus and Uncertainty. Pediatr Crit Care Med. 2017 Nov; 18(11):1068-1070. View abstract
  7. Truog RD. The United Kingdom Sets Limits on Experimental Treatments: The Case of Charlie Gard. JAMA. 2017 Sep 19; 318(11):1001-1002. View abstract
  8. Truog RD. Expanding the Horizon of Our Obligations in the Clinician-Patient Relationship. Hastings Cent Rep. 2017 Jul; 47(4):40-41. View abstract
  9. Truog RD, Tasker RC. Rebuttal From Drs Truog and Tasker. Chest. 2017 Oct; 152(4):705-706. View abstract
  10. Truog RD, Tasker RC. COUNTERPOINT: Should Informed Consent Be Required for Apnea Testing in Patients With Suspected Brain Death? Yes. Chest. 2017 Oct; 152(4):702-704. View abstract
  11. Truog RD. Patient autonomy and professional expertise in decisions near the end of life: commentary on Francis Kamm. J Med Ethics. 2017 Sep; 43(9):587-588. View abstract
  12. Rubin MA, Truog RD. What to Do When There Aren't Enough Beds in the PICU. AMA J Ethics. 2017 Feb 01; 19(2):157-163. View abstract
  13. Burns JP, Truog RD. The DNR Order after 40 Years. N Engl J Med. 2016 Aug 11; 375(6):504-6. View abstract
  14. Marron JM, Truog RD. Against "Healthy Paternalism" at the End of Life. JAMA Oncol. 2016 Jun 01; 2(6):832. View abstract
  15. Truog R. The price of our illusions and myths about the dead donor rule. J Med Ethics. 2016 05; 42(5):318-9. View abstract
  16. Angus DC, Truog RD. Toward Better ICU Use at the End of Life. JAMA. 2016 Jan 19; 315(3):255-6. View abstract
  17. Misak CJ, White DB, Truog RD. Medically Inappropriate or Futile Treatment: Deliberation and Justification. J Med Philos. 2016 Feb; 41(1):90-114. View abstract
  18. Hey SP, Truog RD. The Question of Clinical Equipoise and Patients' Best Interests. AMA J Ethics. 2015 Dec 01; 17(12):1108-15. View abstract
  19. Calhoun AW, Pian-Smith MC, Truog RD, Gaba DM, Meyer EC. The Importance of Deception in Simulation: A Response. Simul Healthc. 2015 Dec; 10(6):387-390. View abstract
  20. Brown SD, Feudtner C, Truog RD. Prenatal Decision-Making for Myelomeningocele: Can We Minimize Bias and Variability? Pediatrics. 2015 Sep; 136(3):409-11. View abstract
  21. Truog RD, Thiagarajan RR, Harrison CH. Ethical dilemmas with the use of ECMO as a bridge to transplantation. Lancet Respir Med. 2015 Aug; 3(8):597-8. View abstract
  22. Fischer DB, Truog RD. What is a reflex? A guide for understanding disorders of consciousness. Neurology. 2015 Aug 11; 85(6):543-8. View abstract
  23. Calhoun AW, Pian-Smith MC, Truog RD, Gaba DM, Meyer EC. Deception and simulation education: issues, concepts, and commentary. Simul Healthc. 2015 Jun; 10(3):163-9. View abstract
  24. Bosslet GT, Pope TM, Rubenfeld GD, Lo B, Truog RD, Rushton CH, Curtis JR, Ford DW, Osborne M, Misak C, Au DH, Azoulay E, Brody B, Fahy BG, Hall JB, Kesecioglu J, Kon AA, Lindell KO, White DB. An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units. Am J Respir Crit Care Med. 2015 Jun 01; 191(11):1318-30. View abstract
  25. Wilkinson D, Truog R, Savulescu J. In Favour of Medical Dissensus: Why We Should Agree to Disagree About End-of-Life Decisions. Bioethics. 2016 Feb; 30(2):109-18. View abstract
  26. Lewis-Newby M, Wicclair M, Pope T, Rushton C, Curlin F, Diekema D, Durrer D, Ehlenbach W, Gibson-Scipio W, Glavan B, Langer RL, Manthous C, Rose C, Scardella A, Shanawani H, Siegel MD, Halpern SD, Truog RD, White DB. An official American Thoracic Society policy statement: managing conscientious objections in intensive care medicine. Am J Respir Crit Care Med. 2015 Jan 15; 191(2):219-27. View abstract
  27. de Vos MA, Bos AP, Plötz FB, van Heerde M, de Graaff BM, Tates K, Truog RD, Willems DL. Talking with parents about end-of-life decisions for their children. Pediatrics. 2015 Feb; 135(2):e465-76. View abstract
  28. Truog RD, Brown SD, Browning D, Hundert EM, Rider EA, Bell SK, Meyer EC. Microethics: the ethics of everyday clinical practice. Hastings Cent Rep. 2015 Jan-Feb; 45(1):11-7. View abstract
  29. Misak CJ, White DB, Truog RD. Medical futility: a new look at an old problem. Chest. 2014 Dec; 146(6):1667-1672. View abstract
  30. Bell SK, Mann KJ, Truog R, Lantos JD. Should we tell parents when we've made an error? Pediatrics. 2015 Jan; 135(1):159-63. View abstract
  31. Truog RD, Cohen G, Rockoff MA. Ethical considerations surrounding lethal injection--reply. JAMA. 2014 Nov 05; 312(17):1804-5. View abstract
  32. Sprung CL, Truog RD, Curtis JR, Joynt GM, Baras M, Michalsen A, Briegel J, Kesecioglu J, Efferen L, De Robertis E, Bulpa P, Metnitz P, Patil N, Hawryluck L, Manthous C, Moreno R, Leonard S, Hill NS, Wennberg E, McDermid RC, Mikstacki A, Mularski RA, Hartog CS, Avidan A. 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. Am J Respir Crit Care Med. 2014 Oct 15; 190(8):855-66. View abstract
  33. Stickney CA, Ziniel SI, Brett MS, Truog RD. Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. J Pediatr. 2014 Dec; 165(6):1245-1251.e1. View abstract
  34. Burns JP, Sellers DE, Meyer EC, Lewis-Newby M, Truog RD. Epidemiology of death in the PICU at five U.S. teaching hospitals*. Crit Care Med. 2014 Sep; 42(9):2101-8. View abstract
  35. Truog RD, Miller FG. The meaning of brain death: a different view. JAMA Intern Med. 2014 Aug; 174(8):1215-6. View abstract
  36. McLennan S, Rich LE, Truog RD. Apologies in medicine: legal protection is not enough. CMAJ. 2015 Mar 17; 187(5):E156-9. View abstract
  37. Truog RD, Cohen IG, Rockoff MA. Physicians, medical ethics, and execution by lethal injection. JAMA. 2014 Jun 18; 311(23):2375-6. View abstract
  38. Sellers DE, Dawson R, Cohen-Bearak A, Solomond MZ, Truog RD. Measuring the quality of dying and death in the pediatric intensive care setting: the clinician PICU-QODD. J Pain Symptom Manage. 2015 Jan; 49(1):66-78. View abstract
  39. Truog RD, Miller FG. Defining death: the importance of scientific candor and transparency. Intensive Care Med. 2014 Jun; 40(6):885-7. View abstract
  40. Truog RD, Miller FG. Changing the conversation about brain death. Am J Bioeth. 2014; 14(8):9-14. View abstract
  41. Truog RD, White DB. Futile treatments in intensive care units. JAMA Intern Med. 2013 Nov 11; 173(20):1894-5. View abstract
  42. Stickney CA, Ziniel SI, Brett MS, Truog RD. Family participation during intensive care unit rounds: attitudes and experiences of parents and healthcare providers in a tertiary pediatric intensive care unit. J Pediatr. 2014 Feb; 164(2):402-6.e1-4. View abstract
  43. Gallagher TH, Mello MM, Levinson W, Wynia MK, Sachdeva AK, Snyder Sulmasy L, Truog RD, Conway J, Mazor K, Lembitz A, Bell SK, Sokol-Hessner L, Shapiro J, Puopolo AL, Arnold R. Talking with patients about other clinicians' errors. N Engl J Med. 2013 Oct 31; 369(18):1752-7. View abstract
  44. Truog RD, Miller FG, Halpern SD. The dead-donor rule and the future of organ donation. N Engl J Med. 2013 Oct 03; 369(14):1287-9. View abstract
  45. Mularski RA, Reinke LF, Carrieri-Kohlman V, Fischer MD, Campbell ML, Rocker G, Schneidman A, Jacobs SS, Arnold R, Benditt JO, Booth S, Byock I, Chan GK, Curtis JR, Donesky D, Hansen-Flaschen J, Heffner J, Klein R, Limberg TM, Manning HL, Morrison RS, Ries AL, Schmidt GA, Selecky PA, Truog RD, Wang AC, White DB. An official American Thoracic Society workshop report: assessment and palliative management of dyspnea crisis. Ann Am Thorac Soc. 2013 Oct; 10(5):S98-106. View abstract
  46. Sprung CL, Danis M, Iapichino G, Artigas A, Kesecioglu J, Moreno R, Lippert A, Curtis JR, Meale P, Cohen SL, Levy MM, Truog RD. Triage of intensive care patients: identifying agreement and controversy. Intensive Care Med. 2013 Nov; 39(11):1916-24. View abstract
  47. Gries CJ, White DB, Truog RD, Dubois J, Cosio CC, Dhanani S, Chan KM, Corris P, Dark J, Fulda G, Glazier AK, Higgins R, Love R, Mason DP, Nakagawa TA, Shapiro R, Shemie S, Tracy MF, Travaline JM, Valapour M, West L, Zaas D, Halpern SD. An official American Thoracic Society/International Society for Heart and Lung Transplantation/Society of Critical Care Medicine/Association of Organ and Procurement Organizations/United Network of Organ Sharing Statement: ethical and policy considerations in organ donation after circulatory determination of death. Am J Respir Crit Care Med. 2013 Jul 01; 188(1):103-9. View abstract
  48. Wilfond BS, Magnus D, Antommaria AH, Appelbaum P, Aschner J, Barrington KJ, Beauchamp T, Boss RD, Burke W, Caplan AL, Capron AM, Cho M, Clayton EW, Cole FS, Darlow BA, Diekema D, Faden RR, Feudtner C, Fins JJ, Fost NC, Frader J, Hester DM, Janvier A, Joffe S, Kahn J, Kass NE, Kodish E, Lantos JD, McCullough L, McKinney R, Meadow W, O'Rourke PP, Powderly KE, Pursley DM, Ross LF, Sayeed S, Sharp RR, Sugarman J, Tarnow-Mordi WO, Taylor H, Tomlinson T, Truog RD, Unguru YT, Weise KL, Woodrum D, Youngner S. The OHRP and SUPPORT. N Engl J Med. 2013 Jun 20; 368(25):e36. View abstract
  49. Truog RD. Palliative care in the ICU: lots of questions, few answers*. Crit Care Med. 2013 Jun; 41(6):1568-9. View abstract
  50. Truog R. Ethical challenges in providing eolc in the ICU. BMJ Support Palliat Care. 2013 Jun; 3(2):241. View abstract
  51. Truog RD. Talking with families about organ donation in the ICU. BMJ Support Palliat Care. 2013 Jun; 3(2):276. View abstract
  52. Dewar R, Parkash V, Forrow L, Truog RD. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014 May; 22(3):242-6. View abstract
  53. McLennan SR, Truog RD. Apology laws and open disclosure. Med J Aust. 2013 May 06; 198(8):411-2. View abstract
  54. Wilkinson DJ, Truog RD. The luck of the draw: physician-related variability in end-of-life decision-making in intensive care. Intensive Care Med. 2013 Jun; 39(6):1128-32. View abstract
  55. Truog RD, Meyer EC. Deception and death in medical simulation. Simul Healthc. 2013 Feb; 8(1):1-3. View abstract
  56. Krakower TM, Montello M, Mitchell C, Truog RD. The ethics of reality medical television. J Clin Ethics. 2013; 24(1):50-7. View abstract
  57. McGraw SA, Truog RD, Solomon MZ, Cohen-Bearak A, Sellers DE, Meyer EC. "I was able to still be her mom"--parenting at end of life in the pediatric intensive care unit. Pediatr Crit Care Med. 2012 Nov; 13(6):e350-6. View abstract
  58. Meyer EC, Lamiani G, Foer MR, Truog RD. "What would you do if this were your child?": practitioners' responses during enacted conversations in the United States. Pediatr Crit Care Med. 2012 Nov; 13(6):e372-6. View abstract
  59. Truog RD, Kesselheim AS, Joffe S. Research ethics. Paying patients for their tissue: the legacy of Henrietta Lacks. Science. 2012 Jul 06; 337(6090):37-8. View abstract
  60. Truog RD, White DB. Anesthesia does not reduce suffering at the end of life. Crit Care Med. 2012 Jul; 40(7):2268. View abstract
  61. Truog RD, Miller FG. "Brain death" is a useful fiction. Crit Care Med. 2012 Apr; 40(4):1393-4; author reply 1394. View abstract
  62. Truog RD. Patients and doctors--evolution of a relationship. N Engl J Med. 2012 Feb 16; 366(7):581-5. View abstract
  63. Brown SD, Lehman CD, Truog RD, Browning DM, Gallagher TH. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Radiology. 2012 Feb; 262(2):381-6. View abstract
  64. Truog RD, Brock DW, White DB. Should patients receive general anesthesia prior to extubation at the end of life?. Crit Care Med. 2012 Feb; 40(2):631-3. View abstract
  65. Miller FG, Truog RD. Going all the way: ethical clarity and ethical progress. Am J Bioeth. 2012; 12(6):10-1. View abstract
  66. Truog RD. When does a nudge become a shove in seeking consent for organ donation? Am J Bioeth. 2012; 12(2):42-4. View abstract
  67. Young MJ, Brown SE, Truog RD, Halpern SD. Rationing in the intensive care unit: to disclose or disguise? Crit Care Med. 2012 Jan; 40(1):261-6. View abstract
  68. Truog RD. Tolstoy on transparency and authority in end-of-life decision-making. Intensive Care Med. 2011 Nov; 37(11):1723-4. View abstract
  69. Shah SK, Truog RD, Miller FG. Death and legal fictions. J Med Ethics. 2011 Dec; 37(12):719-22. View abstract
  70. Truog RD. Do-not-resuscitate orders in evolution: matching medical interventions with patient goals. Crit Care Med. 2011 May; 39(5):1213-4. View abstract
  71. Truog RD. Are there some things doctors just shouldn't do? Hastings Cent Rep. 2011 May-Jun; 41(3):3. View abstract
  72. Truog RD, Sayeed SA. Neonatal decision-making: beyond the standard of best interests. Am J Bioeth. 2011 Feb; 11(2):44-5. View abstract
  73. Lamiani G, Meyer EC, Leone D, Vegni E, Browning DM, Rider EA, Truog RD, Moja EA. Cross-cultural adaptation of an innovative approach to learning about difficult conversations in healthcare. Med Teach. 2011; 33(2):e57-64. View abstract
  74. Miller FG, Truog RD, Brock DW. Moral fictions and medical ethics. Bioethics. 2010 Nov; 24(9):453-60. View abstract
  75. Miller FG, Truog RD. Decapitation and the definition of death. J Med Ethics. 2010 Oct; 36(10):632-4. View abstract
  76. Truog RD, Miller FG. Counterpoint: are donors after circulatory death really dead, and does it matter? No and not really. Chest. 2010 Jul; 138(1):16-8; discussion 18-9. View abstract
  77. Truog RD, Miller FG. Brain perfusion scans to diagnose brain death: more than meets the eye. Pediatr Crit Care Med. 2010 Jul; 11(4):527-8. View abstract
  78. Miller FG, Truog RD, Brock DW. The dead donor rule: can it withstand critical scrutiny? J Med Philos. 2010 Jun; 35(3):299-312. View abstract
  79. Truog RD. Translating research on communication in the intensive care unit into effective educational strategies. Crit Care Med. 2010 Mar; 38(3):976-7. View abstract
  80. Halpern SD, Truog RD. Organ donors after circulatory determination of death: not necessarily dead, and it does not necessarily matter. Crit Care Med. 2010 Mar; 38(3):1011-2. View abstract
  81. Truog RD. Is it always wrong to perform futile CPR? N Engl J Med. 2010 Feb 11; 362(6):477-9. View abstract
  82. Truog RD. The conversation around CPR/DNR should not be revived--at least for now. Am J Bioeth. 2010 Jan; 10(1):84-5. View abstract
  83. Truog RD. Screening mammography and the "r" word. N Engl J Med. 2009 Dec 24; 361(26):2501-3. View abstract
  84. Truog RD. Counterpoint: The Texas advance directives act is ethically flawed: medical futility disputes must be resolved by a fair process. Chest. 2009 Oct; 136(4):968-971. View abstract
  85. Miller FG, Truog RD. Controversies about brain death. JAMA. 2009 Jul 22; 302(4):380-1; author reply 381-2. View abstract
  86. Miller FG, Truog RD. The incoherence of determining death by neurological criteria: a commentary on "Controversies in the determination of death", a White Paper by the President's Council on Bioethics. Kennedy Inst Ethics J. 2009 Jun; 19(2):185-93. View abstract
  87. Meyer EC, Sellers DE, Browning DM, McGuffie K, Solomon MZ, Truog RD. Difficult conversations: improving communication skills and relational abilities in health care. Pediatr Crit Care Med. 2009 May; 10(3):352-9. View abstract
  88. Waisel DB, Lamiani G, Sandrock NJ, Pascucci R, Truog RD, Meyer EC. Anesthesiology trainees face ethical, practical, and relational challenges in obtaining informed consent. Anesthesiology. 2009 Mar; 110(3):480-6. View abstract
  89. Waisel DB, Simon R, Truog RD, Baboolal H, Raemer DB. Anesthesiologist management of perioperative do-not-resuscitate orders: a simulation-based experiment. Simul Healthc. 2009; 4(2):70-6. View abstract
  90. Calhoun AW, Rider EA, Meyer EC, Lamiani G, Truog RD. Assessment of communication skills and self-appraisal in the simulated environment: feasibility of multirater feedback with gap analysis. Simul Healthc. 2009; 4(1):22-9. View abstract
  91. Miller FG, Truog RD. Rethinking the ethics of vital organ donations. Hastings Cent Rep. 2008 Nov-Dec; 38(6):38-46. View abstract
  92. Devictor DJ, Tissieres P, Gillis J, Truog R. Intercontinental differences in end-of-life attitudes in the pediatric intensive care unit: results of a worldwide survey. Pediatr Crit Care Med. 2008 Nov; 9(6):560-6. View abstract
  93. Truog RD, Miller FG. The dead donor rule and organ transplantation. N Engl J Med. 2008 Aug 14; 359(7):674-5. View abstract
  94. Lamiani G, Meyer EC, Rider EA, Browning DM, Vegni E, Mauri E, Moja EA, Truog RD. Assumptions and blind spots in patient-centredness: action research between American and Italian health care professionals. Med Educ. 2008 Jul; 42(7):712-20. View abstract
  95. Miller FG, Truog RD. An apology for Socratic bioethics. Am J Bioeth. 2008 Jul; 8(7):3-7. View abstract
  96. Waisel DB, Truog RD. A continuum for using placebo interventions in regional anesthesia and analgesia studies. Clin Pharmacol Ther. 2008 Jul; 84(1):163-5. View abstract
  97. Truog RD. Not euthanasia, simply compassionate clinical care. Crit Care Med. 2008 Apr; 36(4):1387-8; author reply 1389. View abstract
  98. Truog RD. Consent for organ donation--balancing conflicting ethical obligations. N Engl J Med. 2008 Mar 20; 358(12):1209-11. View abstract
  99. Truog RD, Campbell ML, Curtis JR, Haas CE, Luce JM, Rubenfeld GD, Rushton CH, Kaufman DC. Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine. Crit Care Med. 2008 Mar; 36(3):953-63. View abstract
  100. Gawande A, Denno DW, Truog RD, Waisel D. Physicians and execution--highlights from a discussion of lethal injection. N Engl J Med. 2008 Jan 31; 358(5):448-51. View abstract
  101. Truog RD. End-of-life decision-making in the United States. Eur J Anaesthesiol Suppl. 2008; 42:43-50. View abstract
  102. Burns JP, Truog RD. Futility: a concept in evolution. Chest. 2007 Dec; 132(6):1987-93. View abstract
  103. Truog RD. Ethical assessment of pediatric research protocols. Intensive Care Med. 2008 Jan; 34(1):198-202. View abstract
  104. Browning DM, Meyer EC, Truog RD, Solomon MZ. Difficult conversations in health care: cultivating relational learning to address the hidden curriculum. Acad Med. 2007 Sep; 82(9):905-13. View abstract
  105. Truog RD. Tackling medical futility in Texas. N Engl J Med. 2007 Jul 05; 357(1):1-3. View abstract
  106. Cochrane T, Truog RD. The controversy over artificial hydration and nutrition. Neurology. 2007 Jan 30; 68(5):391; author reply 392. View abstract
  107. Browning DM, Meyer EC, Brodsky D, Truog RD. Reflections on love, fear, and specializing in the impossible. J Clin Ethics. 2007; 18(4):373-6. View abstract
  108. Truog RD. Doing research on the ethics of doing research. Crit Care. 2007; 11(1):111; discussion 111. View abstract
  109. Truog RD. Brain death - too flawed to endure, too ingrained to abandon. J Law Med Ethics. 2007; 35(2):273-81. View abstract
  110. Truog RD, Meyer EC, Burns JP. Toward interventions to improve end-of-life care in the pediatric intensive care unit. Crit Care Med. 2006 Nov; 34(11 Suppl):S373-9. View abstract
  111. Mularski RA, Curtis JR, Billings JA, Burt R, Byock I, Fuhrman C, Mosenthal AC, Medina J, Ray DE, Rubenfeld GD, Schneiderman LJ, Treece PD, Truog RD, Levy MM. Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care Workgroup. Crit Care Med. 2006 Nov; 34(11 Suppl):S404-11. View abstract
  112. Truog RD, Mitchell C. Futility--from hospital policies to state laws. Am J Bioeth. 2006 Sep-Oct; 6(5):19-21; discussion W30-2. View abstract
  113. Truog RD, Christ G, Browning DM, Meyer EC. Sudden traumatic death in children: "we did everything, but your child didn't survive". JAMA. 2006 Jun 14; 295(22):2646-54. View abstract
  114. Brown SD, Truog RD, Johnson JA, Ecker JL. 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? Pediatrics. 2006 Apr; 117(4):1382-7. View abstract
  115. Truog RD, Brock DW, Cook DJ, Danis M, Luce JM, Rubenfeld GD, Levy MM. Rationing in the intensive care unit. Crit Care Med. 2006 Apr; 34(4):958-63; quiz 971. View abstract
  116. Cochrane TI, Truog RD. Appropriate use of artificial nutrition and hydration. N Engl J Med. 2006 Mar 23; 354(12):1320-1; author reply 1320-1. View abstract
  117. Meyer EC, Ritholz MD, Burns JP, Truog RD. Improving the quality of end-of-life care in the pediatric intensive care unit: parents' priorities and recommendations. Pediatrics. 2006 Mar; 117(3):649-57. View abstract
  118. Truog RD, Cochrane TI. The truth about "donation after cardiac death". J Clin Ethics. 2006; 17(2):133-6. View abstract
  119. Mitchell C, Truog R. When a village is not enough. J Clin Ethics. 2006; 17(1):79. View abstract
  120. Truog RD, Cochrane TI. Refusal of hydration and nutrition: irrelevance of the "artificial" vs "natural" distinction. Arch Intern Med. 2005 Dec 12-26; 165(22):2574-6. View abstract
  121. Truog RD. End-of-life care: is euthanasia the answer? Intensive Care Med. 2006 Jan; 32(1):6-8. View abstract
  122. Truog RD. Organ donation without brain death? Hastings Cent Rep. 2005 Nov-Dec; 35(6):3. View abstract
  123. Solomon MZ, Sellers DE, Heller KS, Dokken DL, Levetown M, Rushton C, Truog RD, Fleischman AR. New and lingering controversies in pediatric end-of-life care. Pediatrics. 2005 Oct; 116(4):872-83. View abstract
  124. Yaguchi A, Truog RD, Curtis JR, Luce JM, Levy MM, Mélot C, Vincent JL. International differences in end-of-life attitudes in the intensive care unit: results of a survey. Arch Intern Med. 2005 Sep 26; 165(17):1970-5. View abstract
  125. Truog RD. The ethics of organ donation by living donors. N Engl J Med. 2005 Aug 04; 353(5):444-6. View abstract
  126. Truog RD. Variability in end-of-life care--how much is too much? Pediatr Crit Care Med. 2005 May; 6(3):368-9. View abstract
  127. Truog RD. Increasing the participation of children in clinical research. Intensive Care Med. 2005 Jun; 31(6):760-1. View abstract
  128. Truog RD, Waisel DB, Burns JP. Do-not-resuscitate orders in the surgical setting. Lancet. 2005 Feb 26-Mar 4; 365(9461):733-5. View abstract
  129. Truog RD, Lowney J, Hanto D, Caplan A, Brock D. Soliciting organs on the Internet. Med Ethics (Burlingt Mass). 2005; 12(3):5-8. View abstract
  130. Hardart GE, Truog RD. Practicing physicians and the role of family surrogate decision making. J Clin Ethics. 2005; 16(4):345-54. View abstract
  131. Truog RD. Informed consent: an end or a means? A response to Miller and Moreno. J Clin Ethics. 2005; 16(4):365-8; discussion 376-9. View abstract
  132. Truog RD. Are organs personal property or a societal resource? Am J Bioeth. 2005; 5(4):14-6. View abstract
  133. Luce JM, Cook DJ, Martin TR, Angus DC, Boushey HA, Curtis JR, Heffner JE, Lanken PN, Levy MM, Polite PY, Rocker GM, Truog RD. The ethical conduct of clinical research involving critically ill patients in the United States and Canada: principles and recommendations. Am J Respir Crit Care Med. 2004 Dec 15; 170(12):1375-84. View abstract
  134. Truog RD. Will ethical requirements bring critical care research to a halt? Intensive Care Med. 2005 Mar; 31(3):338-44. View abstract
  135. Truog R. Brain death: at once "well settled" and "persistently unresolved". Virtual Mentor. 2004 Aug 01; 6(8). View abstract
  136. Wise-Faberowski L, Soriano SG, Ferrari L, McManus ML, Wolfsdorf JI, Majzoub J, Scott RM, Truog R, Rockoff MA. Perioperative management of diabetes insipidus in children. J Neurosurg Anesthesiol. 2004 Jul; 16(3):220-5. View abstract
  137. Mitchell C, Truog RD. Excerpts from the ethics consult report: MT. J Clin Ethics. 2004; 15(3):302-6. View abstract
  138. Wise-Faberowski L, Soriano SG, Ferrari L, McManus ML, Wolfsdorf JI, Majzoub J, Scott RM, Truog R, Rockoff MA. Perioperative management of diabetes insipidus in children [corrected]. J Neurosurg Anesthesiol. 2004 Jan; 16(1):14-9. View abstract
  139. Mello MM, Burns JP, Truog RD, Studdert DM, Puopolo AL, Brennan TA. Decision making and satisfaction with care in the pediatric intensive care unit: findings from a controlled clinical trial. Pediatr Crit Care Med. 2004 Jan; 5(1):40-7. View abstract
  140. Hardart MK, Truog RD. Spinal muscular atrophy--type I. Arch Dis Child. 2003 Oct; 88(10):848-50. View abstract
  141. Studdert DM, Burns JP, Mello MM, Puopolo AL, Truog RD, Brennan TA. Nature of conflict in the care of pediatric intensive care patients with prolonged stay. Pediatrics. 2003 Sep; 112(3 Pt 1):553-8. View abstract
  142. Truog RD, Robinson WM. Role of brain death and the dead-donor rule in the ethics of organ transplantation. Crit Care Med. 2003 Sep; 31(9):2391-6. View abstract
  143. Burns JP, Mello MM, Studdert DM, Puopolo AL, Truog RD, Brennan TA. Results of a clinical trial on care improvement for the critically ill. Crit Care Med. 2003 Aug; 31(8):2107-17. View abstract
  144. Studdert DM, Mello MM, Burns JP, Puopolo AL, Galper BZ, Truog RD, Brennan TA. Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictors. Intensive Care Med. 2003 Sep; 29(9):1489-97. View abstract
  145. Hardart GE, Truog RD. Attitudes and preferences of intensivists regarding the role of family interests in medical decision making for incompetent patients. Crit Care Med. 2003 Jul; 31(7):1895-900. View abstract
  146. Burns JP, Edwards J, Johnson J, Cassem NH, Truog RD. Do-not-resuscitate order after 25 years. Crit Care Med. 2003 May; 31(5):1543-50. View abstract
  147. DeVita MA, Groeger J, Truog R. Current controversies in critical care ethics: not just end of life. Crit Care Med. 2003 May; 31(5 Suppl):S343. View abstract
  148. Truog R. Revisiting "Doctor, if this were your child, what would you do?". J Clin Ethics. 2003 Spring-Summer; 14(1-2):63-7. View abstract
  149. Truog RD. Organ donation after cardiac death: what role for anesthesiologists? Anesthesiology. 2003 Mar; 98(3):599-600. View abstract
  150. Mitchell C, Truog RD. A bridge to nowhere. J Clin Ethics. 2003; 14(3):189. View abstract
  151. Truog RD. Dying patients as research subjects. Hastings Cent Rep. 2003 Jan-Feb; 33(1):3. View abstract
  152. Waisel DB, Burns JP, Johnson JA, Hardart GE, Truog RD. Guidelines for perioperative do-not-resuscitate policies. J Clin Anesth. 2002 Sep; 14(6):467-73. View abstract
  153. Hardart MK, Burns JP, Truog RD. Respiratory support in spinal muscular atrophy type I: a survey of physician practices and attitudes. Pediatrics. 2002 Aug; 110(2 Pt 1):e24. View abstract
  154. Meyer EC, Burns JP, Griffith JL, Truog RD. Parental perspectives on end-of-life care in the pediatric intensive care unit. Crit Care Med. 2002 Jan; 30(1):226-31. View abstract
  155. Mitchell C, Truog R. Irene's story. J Clin Ethics. 2002; 13(3):230-1. View abstract
  156. Mitchell C, Truog R. Case reports from the Harvard Ethics Consortium. J Clin Ethics. 2002; 13(1):49-53. View abstract
  157. Truog RD, Cist AF, Brackett SE, Burns JP, Curley MA, Danis M, DeVita MA, Rosenbaum SH, Rothenberg DM, Sprung CL, Webb SA, Wlody GS, Hurford WE. Recommendations for end-of-life care in the intensive care unit: The Ethics Committee of the Society of Critical Care Medicine. Crit Care Med. 2001 Dec; 29(12):2332-48. View abstract
  158. Levine DZ, Truog RD. Discontinuing immunosuppression in a child with a renal transplant: are there limits to withdrawing life support? Am J Kidney Dis. 2001 Oct; 38(4):901-15. View abstract
  159. Truog RD, Robinson WM. The diagnosis of brain death. N Engl J Med. 2001 Aug 23; 345(8):617; author reply 617-8. View abstract
  160. Chalfin DB, Crippen D, Franklin C, Kelly DF, Kilcullen JK, Streat S, Truog RD, Whetstine LM. 'Round-table' ethical debate: is a suicide note an authoritative 'living will'? Crit Care. 2001; 5(3):115-24. View abstract
  161. Burns JP, Mitchell C, Griffith JL, Truog RD. End-of-life care in the pediatric intensive care unit: attitudes and practices of pediatric critical care physicians and nurses. Crit Care Med. 2001 Mar; 29(3):658-64. View abstract
  162. Truog RD, Waisel DB. Do-not-resuscitate orders: from the ward to the operating room; from procedures to goals. Int Anesthesiol Clin. 2001; 39(3):53-65. View abstract
  163. Cist AF, Truog RD, Brackett SE, Hurford WE. Practical guidelines on the withdrawal of life-sustaining therapies. Int Anesthesiol Clin. 2001; 39(3):87-102. View abstract
  164. Crippen D, Levy M, Truog R, Whetstine L, Luce J. Debate: what constitutes 'terminality' and how does it relate to a living will? Crit Care. 2000; 4(6):333-8. View abstract
  165. Truog RD. Organ transplantation without brain death. Ann N Y Acad Sci. 2000 Sep; 913:229-39. View abstract
  166. Burns JP, Mitchell C, Outwater KM, Geller M, Griffith JL, Todres ID, Truog RD. End-of-life care in the pediatric intensive care unit after the forgoing of life-sustaining treatment. Crit Care Med. 2000 Aug; 28(8):3060-6. View abstract
  167. Burns JP, Truog RD. Insertion of femoral-vein catheters for practice during cardiopulmonary resuscitation. N Engl J Med. 2000 May 04; 342(18):1369; author reply 1369-70. View abstract
  168. Truog RD, Burns JP, Mitchell C, Johnson J, Robinson W. Pharmacologic paralysis and withdrawal of mechanical ventilation at the end of life. N Engl J Med. 2000 Feb 17; 342(7):508-11. View abstract
  169. Rosenbaum GE, Burns J, Johnson J, Mitchell C, Robinson M, Truog RD. Autopsy consent practice at US teaching hospitals: results of a national survey. Arch Intern Med. 2000 Feb 14; 160(3):374-80. View abstract
  170. Truog RD. Futility in pediatrics: from case to policy. J Clin Ethics. 2000; 11(2):136-41. View abstract
  171. Mitchell C, Truog RD. From the files of a pediatric ethics committee. J Clin Ethics. 2000; 11(2):112-20. View abstract
  172. Krakauer EL, Penson RT, Truog RD, King LA, Chabner BA, Lynch TJ. Sedation for intractable distress of a dying patient: acute palliative care and the principle of double effect. Oncologist. 2000; 5(1):53-62. View abstract
  173. Liang B, Robinson W, Truog RD. Bragdon v. Abbott. J Clin Anesth. 1999 Sep; 11(6):494-8. View abstract
  174. Truog RD, Robinson W. Informed consent for research: the achievements of the past and the challenges of the future. Anesthesiology. 1999 Jun; 90(6):1499-501. View abstract
  175. Truog RD, Robinson W, Randolph A, Morris A. Is informed consent always necessary for randomized, controlled trials? . N Engl J Med. 1999 Mar 11; 340(10):804-7. View abstract
  176. Truog RD, Waisel DB, Burns JP. DNR in the OR: a goal-directed approach. Anesthesiology. 1999 Jan; 90(1):289-95. View abstract
  177. Truog RD. Death: merely biological? Hastings Cent Rep. 1999 Jan-Feb; 29(1):4; author reply 5. View abstract
  178. Truog RD. "Doctor, if this were your child, what would you do"? Pediatrics. 1999 Jan; 103(1):153-4. View abstract
  179. Truog RD. Informed consent and research design in critical care medicine. Crit Care. 1999; 3(3):R29-R33. View abstract
  180. Waisel DB, Truog RD. How an anesthesiologist can use the ethics consultation service. Anesthesiology. 1997 Nov; 87(5):1231-8. View abstract
  181. Waisel DB, Truog RD. Informed consent. Anesthesiology. 1997 Oct; 87(4):968-78. View abstract
  182. Waisel DB, Truog RD. The end-of-life sequence. Anesthesiology. 1997 Sep; 87(3):676-86. View abstract
  183. Waisel DB, Truog RD. An introduction to ethics. Anesthesiology. 1997 Aug; 87(2):411-7. View abstract
  184. Krakauer EL, Truog RD. Mistrust, racism, and end-of-life treatment. Hastings Cent Rep. 1997 May-Jun; 27(3):23; discussion 23-5. View abstract
  185. Burns JP, Truog RD. Ethical controversies in pediatric critical care. New Horiz. 1997 Feb; 5(1):72-84. View abstract
  186. Klepper H, Truog RD. Treating the patient to benefit others. Camb Q Healthc Ethics. 1997; 6(3):306-13. View abstract
  187. Truog RD. Is it time to abandon brain death? Hastings Cent Rep. 1997 Jan-Feb; 27(1):29-37. View abstract
  188. Liang BA, Truog RD, Waisel DB. What needs to be said? Informed consent in the context of spinal anesthesia. J Clin Anesth. 1996 Sep; 8(6):525-7. View abstract
  189. Truog RD. Is "informed right of refusal" the same as "informed consent"? J Clin Ethics. 1996; 7(1):87-9. View abstract
  190. Stein RS, Brody H, Tomlinson T, Shaner DM, Shorr AF, Mahmoud RA, Pearlman RA, Jecker NS, Schneiderman LJ, Katz JP, Waisel DB, Truog RD. CPR-not-indicated and futility. Ann Intern Med. 1996 Jan 01; 124(1):75-7. View abstract
  191. Truog RD. Randomized controlled trials of innovative therapies: are they ethical? J Nephrol. 1995 Nov-Dec; 8(6):285-6. View abstract
  192. Brett AS, Truog RD. Beyond futility to an ethic of care. Am J Med. 1995 Oct; 99(4):443-4. View abstract
  193. Waisel DB, Truog RD. The benefits of the explanation of the risks of anesthesia in the day surgery patient. J Clin Anesth. 1995 May; 7(3):200-4. View abstract
  194. Waisel DB, Truog RD. The cardiopulmonary resuscitation-not-indicated order: futility revisited. Ann Intern Med. 1995 Feb 15; 122(4):304-8. View abstract
  195. Nelson LJ, Rushton CH, Cranford RE, Nelson RM, Glover JJ, Truog RD. Forgoing medically provided nutrition and hydration in pediatric patients. J Law Med Ethics. 1995; 23(1):33-46. View abstract
  196. Truog RD. Progress in the futility debate. J Clin Ethics. 1995; 6(2):128-32. View abstract
  197. Burns JP, Reardon FE, Truog RD. Using newly deceased patients to teach resuscitation procedures. N Engl J Med. 1994 Dec 15; 331(24):1652-5. View abstract
  198. Coyle N, Truog RD. HealthCare Ethics Forum '94: pain management and sedation in the terminally ill. AACN Clin Issues Crit Care Nurs. 1994 Aug; 5(3):360-5. View abstract
  199. Truog RD, Burns JP. To breathe or not to breathe. J Clin Ethics. 1994; 5(1):39-41. View abstract
  200. Truog RD, Waisel D. Amnesia instead of anesthesia: not always a question of consent. J Clin Ethics. 1994; 5(2):153-5. View abstract
  201. Truog RD, Brennan TA. Participation of physicians in capital punishment. N Engl J Med. 1993 Oct 28; 329(18):1346-50. View abstract
  202. Truog RD. Randomized controlled trials of potentially life-saving therapies: are they ethical? Coron Artery Dis. 1993 Sep; 4(9):835-6. View abstract
  203. Fackler JC, Truog RD. Life, death, and solid organ transplantation without brain death. Crit Care Med. 1993 Sep; 21(9 Suppl):S356-7. View abstract
  204. Truog RD, Fackler JC. Withdrawing mechanical ventilation. Crit Care Med. 1993 Sep; 21(9 Suppl):S396-7. View abstract
  205. Arnold JH, Truog RD, Molengraft JA. Tolerance to isoflurane during prolonged administration. Anesthesiology. 1993 May; 78(5):985-8. View abstract
  206. Arnold JH, Truog RD, Rice SA. Prolonged administration of isoflurane to pediatric patients during mechanical ventilation. Anesth Analg. 1993 Mar; 76(3):520-6. View abstract
  207. Truog RD, Berde CB. Pain, euthanasia, and anesthesiologists. Anesthesiology. 1993 Feb; 78(2):353-60. View abstract
  208. Arnold JH, Truog RD, Thompson JE, Fackler JC. High-frequency oscillatory ventilation in pediatric respiratory failure. Crit Care Med. 1993 Feb; 21(2):272-8. View abstract
  209. Truog RD. What does "resuscitate" mean in a do-not-resuscitate (DNR) order? Anesth Analg. 1993 Jan; 76(1):206-7. View abstract
  210. Truog RD, Berde CB, Mitchell C, Grier HE. Barbiturates in the care of the terminally ill. N Engl J Med. 1992 Dec 03; 327(23):1678-82. View abstract
  211. Truog RD, Fackler JC. Rethinking brain death. Crit Care Med. 1992 Dec; 20(12):1705-13. View abstract
  212. Truog RD. Randomized controlled trials: lessons from ECMO. Clin Res. 1992 Oct; 40(3):519-27. View abstract
  213. Truog RD, Fackler JC. Anesthesia in neonatal cardiac surgery. N Engl J Med. 1992 Jul 09; 327(2):125; author reply 127. View abstract
  214. Truog RD, Brett AS, Frader J. The problem with futility. N Engl J Med. 1992 Jun 04; 326(23):1560-4. View abstract
  215. Truog RD, Rockoff MA. DNR in the OR: further questions. J Clin Anesth. 1992 May-Jun; 4(3):177-80. View abstract
  216. Truog RD. Triage in the ICU. Hastings Cent Rep. 1992 May-Jun; 22(3):13-7. View abstract
  217. Truog RD, Rockoff MA, Brustowicz RM. DNR in the OR. JAMA. 1992 Mar 18; 267(11):1466-7. View abstract
  218. Truog RD, Arnold JH. The "ethics of evidence" and randomized controlled trials. J Clin Ethics. 1992; 3(1):65-7. View abstract
  219. Truog RD. Can empirical data establish futility? J Clin Ethics. 1992; 3(4):315-6. View abstract
  220. Truog RD. Locked-in syndrome and ethics committee deliberation. J Clin Ethics. 1992; 3(3):209-10. View abstract
  221. Truog RD. Beyond futility: commentary. J Clin Ethics. 1992; 3(2):143-5. View abstract
  222. Freer JP, Truog RD, Fackler JC, Bartholme WG, Morgan H. Brain death and the termination of life support: case and analysis. J Clin Ethics. 1992; 3(1):78-82. View abstract
  223. Arnold JH, Truog RD, Scavone JM, Fenton T. Changes in the pharmacodynamic response to fentanyl in neonates during continuous infusion. J Pediatr. 1991 Oct; 119(4):639-43. View abstract
  224. Shneider B, Cronin J, Van Marter L, Maller E, Truog R, Jacobson M, Kevy S. A prospective analysis of cholestasis in infants supported with extracorporeal membrane oxygenation. J Pediatr Gastroenterol Nutr. 1991 Oct; 13(3):285-9. View abstract
  225. Truog RD, Rockoff MA. Ethical issues in pediatric anesthesia. Semin Anesth. 1991 Sep; 10(3):187-94. View abstract
  226. Truog RD. "Do-not-resuscitate" orders during anesthesia and surgery. Anesthesiology. 1991 Mar; 74(3):606-8. View abstract
  227. Truog RD, Arnold JH, Rockoff MA. Sedation before ventilator withdrawal: medical and ethical considerations. J Clin Ethics. 1991; 2(2):127-9. View abstract
  228. Truog RD, Hickey PR. Should newborns receive analgesics for pain? J Clin Ethics. 1991; 2(2):115-7. View abstract
  229. Arnold JH, Truog RD, Orav EJ, Scavone JM, Hershenson MB. Tolerance and dependence in neonates sedated with fentanyl during extracorporeal membrane oxygenation. Anesthesiology. 1990 Dec; 73(6):1136-40. View abstract
  230. Truog RD, Fletcher JC. Brain death and the anencephalic newborn. Bioethics. 1990 Jul; 4(3):199-215. View abstract
  231. Truog RD. Allowing to die. Crit Care Med. 1990 Jul; 18(7):790-1. View abstract
  232. Truog RD, Schena JA, Hershenson MB, Koka BV, Lillehei CW. Repair of congenital diaphragmatic hernia during extracorporeal membrane oxygenation. Anesthesiology. 1990 Apr; 72(4):750-3. View abstract
  233. Truog RD, Accurso FJ, Wilkening RB. Fetal pulmonary vasodilation by histamine: response to H1 and H2 stimulation. Dev Pharmacol Ther. 1990; 14(3):180-6. View abstract
  234. Truog RD, Rice SA. Inorganic fluoride and prolonged isoflurane anesthesia in the intensive care unit. Anesth Analg. 1989 Dec; 69(6):843-5. View abstract
  235. Truog RD, Fletcher JC. Anencephalic newborns. Can organs be transplanted before brain death? N Engl J Med. 1989 Aug 10; 321(6):388-91. View abstract
  236. Shneider B, Schena J, Truog R, Jacobson M, Kevy S. Exposure to di(2-ethylhexyl)phthalate in infants receiving extracorporeal membrane oxygenation. N Engl J Med. 1989 Jun 08; 320(23):1563. View abstract
  237. Truog R, Anand KJ. Management of pain in the postoperative neonate. Clin Perinatol. 1989 Mar; 16(1):61-78. View abstract
  238. Howard BD, Truog R. Relationship between the neurotoxicity and phospholipase A activity of beta-bungarotoxin. Biochemistry. 1977 Jan 11; 16(1):122-5. View abstract