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Palliative care approaches to neonates with chronic respiratory failure

Nicolas F M Porta1

  • 1Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave, Box #45, Chicago, IL 60611.

Seminars in Perinatology
|February 8, 2017
PubMed

Insights

Pediatric palliative care services offer crucial support for neonates with chronic respiratory failure. Consultation aids in managing complex cases, aligning treatment goals, and prioritizing patient and family well-being.

Area of Science:

  • Neonatal Medicine
  • Palliative Care
  • Pediatric Critical Care

Background:

  • Neonates with chronic respiratory failure face uncertain prognoses and substantial treatment burdens.
  • The illness trajectory can become increasingly concerning, necessitating advanced care planning.

Purpose of the Study:

  • To highlight the importance of pediatric palliative care consultation for neonates with chronic respiratory failure.
  • To outline the benefits of integrating palliative services into the care of critically ill neonates.

Main Methods:

  • This is a conceptual and ethical discussion, not an empirical study.
  • It synthesizes clinical experience and ethical considerations regarding palliative care integration.

Main Results:

  • Pediatric palliative care services provide essential support for healthcare providers and families.
  • Consultation facilitates transparent goal setting and shared decision-making.
  • It helps balance medical advancements with the best interests of the patient and family.

Conclusions:

  • Early consideration of pediatric palliative care is vital for neonates with chronic respiratory failure.
  • Palliative services enhance communication, support ethical decision-making, and improve quality of life.
  • Integrating palliative care ensures patient-centered treatment, especially when innovative therapies are considered.

Keywords:
Bronchopulmonary dysplasia (BPD)Premature/prematurity newborn tracheostomy uncertaintyPulmonary hypertension (PH)

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