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A Structured Approach to Extubation in Mechanically Ventilated Rats
Published on: July 18, 2025
523
Home Extubation in a Neonate.
Prakash Loganathan1,2, Judith Simpson3, Paul Boutcher4
1National Health Service Greater Glasgow and Clyde, NICU, Royal Hospital for Children, Glasgow, Scotland; prakash.kannanloganathan@nth.nhs.uk.
Pediatrics
|June 10, 2018
Summary
Parents can request home extubation for infants needing mechanical ventilation withdrawal. This case report details the process and ethical considerations for facilitating end-of-of-life care at home.
Area of Science:
- Neonatal care
- Palliative care
- Medical ethics
Background:
- End-of-life care for infants often involves mechanical ventilation withdrawal.
- Hospital settings are typical for this process.
- Parental requests for home death present unique challenges.
Observation:
- This article presents a case study of neonatal home extubation.
- It details the practical processes involved in facilitating this request.
- The ethical dimensions of home-based end-of-life care are explored.
Findings:
- Home extubation requires careful planning and resource allocation.
- Facilitating infant death at home involves logistical and ethical considerations.
- This case illustrates a successful, albeit complex, home extubation process.
Implications:
- Supports the development of guidelines for home-based neonatal palliative care.
- Highlights the need for multidisciplinary support for families choosing home death.
- Informs ethical discussions regarding parental autonomy in end-of-life decisions.
