Palliative Extubation in Pediatric Patients in the Intensive Care Unit and at Home: A Scoping Review.
Joana NetoHugo Jorge CasimiroPaulo Reis-PinaPublished in: International journal of pediatrics (2023)
Symptom control is crucial pre- and postextubation. A checklist (symptom management and family support) and a postdebriefing template improve team communication and staff support postextubation. Critical care transports from the hospital are feasible to provide extubation at home. A framework addressing common planning challenges and resource management is recommended for extubation at home. The provision of pediatric palliative extubation is necessary since futile measures and prolongation of suffering violate the principle of nonmaleficence. Future research on this subject will result in more benefits for patients, parents, and professionals.
Keyphrases
- cardiac surgery
- mechanical ventilation
- palliative care
- end stage renal disease
- respiratory failure
- newly diagnosed
- ejection fraction
- acute kidney injury
- advanced cancer
- chronic kidney disease
- patient reported
- healthcare
- acute respiratory distress syndrome
- peritoneal dialysis
- intensive care unit
- emergency department
- prognostic factors
- quality improvement
- extracorporeal membrane oxygenation
- simultaneous determination