[Descriptive analysis of palliative sedation in a pediatric palliative care unit]. / Análisis descriptivo de la sedación paliativa en una Unidad de Cuidados Paliativos Pediátricos.
An Pediatr (Engl Ed)
; 2021 Feb 18.
Article
em Es
| MEDLINE
| ID: mdl-33612453
ABSTRACT
INTRODUCTION:
Data surrounding palliative sedation in pediatric patients is scarce. Our objective is to assess the utility of creating a quality standard for pediatric palliative sedation. MATERIAL ANDMETHODS:
A non-systematic review of the literature was used to find recommendations for pediatric palliative sedation, after which a definition was established based on three items (1) indication, (2) consent, and (3) application. Afterwards, a retrospective analysis of palliative sedations applied by our unit over 5 years was performed.RESULTS:
Out of 163 patients, palliative sedation was applied in 20, in 17 of them by our unit (14/20 males; median 11.9 years). Twelve patients had oncological diseases, seven had neurological conditions, and one had a polymalformative syndrome. Nine patients had more than one symptom at the time of PS initiation with pain (11/17) and dyspnoea (10/17) being the most frequent. As for the definition, only three patients achieved a global completion, with the registration of the consent, specification of refractoriness and the establishment of an adequate initial sedative dose being the areas with more possible improvement.CONCLUSIONS:
The application of the definition allowed us to analyze and find areas of improvement for our clinical practice of palliative sedation in pediatric patients.
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MEDLINE
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Es
Ano de publicação:
2021
Tipo de documento:
Article