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Published on: December 1, 2021
Cannabis Oil in an Irish Children’s Critical Care Unit
P Fennessy1, L Murphy1, S Crowe1
1Department of Paediatric Anaesthesia, Critical Care Medicine and Pain Medicine, Our Lady’s Children’s Hospital, Crumlin, Dublin 12.
Insights
Parents administered cannabis oil for refractory seizures in a pediatric critical care case. An administration plan was established, highlighting parental autonomy in critical care decisions.
Area of Science:
- Pediatric Critical Care Medicine
- Medical Ethics
- Pharmacology
Background:
- A five-year-old female presented with refractory seizures postoperatively.
- Her parents were administering cannabis oil for seizure management.
- This case highlights challenges in pediatric critical care regarding parental medication choices.
Purpose of the Study:
- To present a case of pediatric refractory seizures managed with cannabis oil.
- To discuss legal and ethical considerations of cannabis prescription in Ireland.
- To explore the role of parental autonomy in critical care medication decisions.
Main Methods:
- Case report presentation.
- Discussion of Irish cannabis prescription laws and parental rights.
- Ethical and legal analysis of parental involvement in critical care.
Main Results:
- An agreed-upon cannabis oil administration regime was established.
- The case involved complex ethical and legal considerations.
Conclusions:
- Parental autonomy is a significant factor in pediatric critical care.
- The case underscores the need to balance medical recommendations with parental advocacy.
- Ethical frameworks must accommodate parental decision-making in critical care settings.
Abstract:
Aims We present a case of a five-year-old female admitted postoperatively to the Paediatric Critical Care Unit with a history of refractory seizures for which her parents were administering cannabis oil. Methods We discuss the issues surrounding cannabis prescription in Ireland and the role of parental autonomy in medication selection and administration. Results An administration regime was agreed upon following discussion with the child’s parents. Conslusion While this case raised ethical and legal issues, we must also consider parental autonomy and their role as advocate for their child during admission to critical care.
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