Background: Life-prolonging treatment is associated with many difficult ethical considerations, especially when such treatment is withdrawn.
Material and methods: Two cases are presented where life-prolonging treatment played a key part. The two were analyzed by using a 5-point checklist that the Clinical Ethics Committee at Haukeland University Hospital has developed. We were visiting students at a neonatal department and an intensive care unit, we read relevant literature and consulted experienced doctors.
Results and interpretations: We saw that well-founded decisions were made for each of the two patients studied; this is in accordance with our experience from hospital departments. We believe that continuous technological advances in medicine require doctors to make more decisions involving ethical considerations now than before, but that they are not necessarily better equipped to do so. There is a need to improve integration of medical ethics in the education of medical students, and for doctors to have more knowledge about existing ethics regulations.