Sedation in pediatric palliative care: The role of pediatric palliative care teams.
| Autor: | Peláez Cantero MJ; Department of Paediatric Palliative Medicine, Maternal-Child of Malaga, Regional University Hospital. University of Málaga, Málaga, Spain., Morales Asencio JM; Malaga Biomedical Research Institute (IBIMA), University of Málaga, Málaga, Spain., Parra Plantagenet-Whyte F; Department of Paediatric Palliative Medicine, Miguel Servet University Hospital, Zaragoza, Spain., Leyva Carmona M; Department of Paediatric Palliative Medicine, Torrecardenas Maternal-Child Hospital, Almería, Spain., Rosique Antonelli M; Department of Paediatric Palliative Medicin, Virgen de la Arrixaca University Hospital, Murcia, Spain., Gili Bigatá T; Department of Paediatric Palliative Medicine, Parc Taulí Hospital, Barcelona, Spain., Martino Alba R; Department of Paediatric Palliative Medicine, Niño Jesus University Children's Hospital, Madrid, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | Palliative & supportive care [Palliat Support Care] 2023 Jul 28, pp. 1-5. Date of Electronic Publication: 2023 Jul 28. |
| DOI: | 10.1017/S1478951523000846 |
| Abstrakt: | Objectives: Palliative sedation (PS) consists of the use of drugs to alleviate the suffering of patients with refractory symptoms, through a reduction in consciousness. The aim of this study is to describe the incidence of and indications for PS in patients treated by pediatric palliative care teams (PPCT), and the relationship between PS, the place of death, and the characteristics of the care teams. Methods: Ambispective study with the participation of 14 PPCT working in Spain. Results: From January to December 2019, a total of 164 patients attended by these PPCT died. Of these, 83 (50.6%) received PS during their last 24 hours. The most frequent refractory symptoms were terminal suffering ( n = 40, 48.2%), dyspnea ( n = 9, 10.8%), pain ( n = 8, 9.6%), and convulsive state ( n = 7, 8.4%). Sedation in the last 24 hours of life was more likely if the patient died in hospital, rather than at home (62.9% vs. 33.3%, p < 0.01); if the parents had not expressed their preference regarding the place of death (69.2% vs. 45.2%, p = 0.009); and if the PPCT had less than 5 years' experience (66.7% vs. 45.5%, p = 0.018). Significance of Results: PS is a real possibility in pediatric end-of-life care and relates to care planning and team expertise. |
| Databáze: | MEDLINE |
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