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Related Experiment Videos

End of life in the NICU. A study of ventilator withdrawal.

N Abe1, A Catlin, D Mihara

  • 1Kaiser Permanente, Baldwin Park, CA, USA.

MCN. the American Journal of Maternal Child Nursing
|May 25, 2001
PubMed
Summary
This summary is machine-generated.

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Ventilator withdrawal in neonatal intensive care units (NICUs) often lacks clear documentation for pain management and nursing support. Improved processes and consistent record-keeping are crucial for end-of-life care in neonates.

Area of Science:

  • Neonatal Medicine
  • Palliative Care
  • Medical Documentation

Background:

  • Ventilator support withdrawal is common in neonatal intensive care units (NICUs).
  • Limited research exists on the specific processes and documentation surrounding neonatal ventilator withdrawal.
  • This study addresses the need for better understanding of end-of-life care practices in the NICU.

Purpose of the Study:

  • To examine the documentation of ventilator withdrawal processes in neonatal deaths.
  • To assess medication administration, parental involvement, and family support during ventilator withdrawal.
  • To identify areas for improvement in care and documentation for dying neonates.

Main Methods:

  • Retrospective chart review of neonatal deaths over two years (1997-1998).

Related Experiment Videos

  • Analysis of 18 infant deaths following ventilator withdrawal across two urban hospitals (Level II and III NICUs).
  • Descriptive statistical analysis of documented care processes.

    • Main Results:

    • Inconsistent and unclear documentation was found regarding ventilator withdrawal orders and procedures.
    • Pain medication was administered in only two-thirds of cases during ventilator withdrawal.
    • While parental participation was often noted, documentation of nursing emotional and social support was absent.

    Conclusions:

    • There is a critical need for improved provision and documentation of pain and symptom management during neonatal ventilator withdrawal.
    • Clearer written orders for ventilator termination are recommended to ensure consistent practice.
    • Enhanced documentation of nursing support for families during this sensitive period is essential.