Parents Demand and Teenager Refuses Epidural Anesthesia
| Autor: | Ivor Berkowitz, Danton S. Char, John D. Lantos, Robert D. Truog, Alyssa M. Burgart, Thomas J. Mancuso |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Anesthesia
Epidural Parents medicine.medical_specialty Adolescent Sedation Bone Neoplasms Sarcoma Ewing Treatment Refusal 03 medical and health sciences Sedation procedure 0302 clinical medicine Thoracic epidural 030225 pediatrics medicine Humans Local anesthesia Parent-Child Relations Pain Postoperative Physician-Patient Relations CHAR SYNDROME business.industry General surgery Catheter Metastatic Ewing's Sarcoma Adolescent Behavior Pediatrics Perinatology and Child Health Female medicine.symptom business |
| Zdroj: | Pediatrics. 145 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.2019-3295 |
| Popis: | A 15-year-old girl is scheduled to undergo an upper lobectomy to debulk metastatic Ewing sarcoma. The anesthesiologist recommended placement of a thoracic epidural catheter to provide postoperative analgesia. The patient did not want a needle to be placed near her spine. She was terrified that the procedure would be painful and that it might paralyze her. Although the anesthesiologist reassured her that sedation and local anesthesia would make the procedure comfortable, she remained vehemently opposed to the epidural procedure. The parents spoke privately to the anesthesiologist and asked for placement of the epidural after she was asleep. They firmly believed that this would provide optimal postoperative analgesia and thus would be in her best interest. Experts discuss the pros and cons of siding with the patient or parents. |
| Databáze: | OpenAIRE |
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