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Pediatric Palliative Transport in Critically Ill Children: A Single Center's Experience and Parents' Perspectives

Anuradha P Menon1,2, Yee Hui Mok1,2, Lik Eng Loh1,2

  • 1Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore.

Journal of Pediatric Intensive Care
|May 1, 2020
PubMed

Insights

Pediatric palliative transport from intensive care units (ICUs) to home is rarely documented. Our 10-year experience and parent surveys show these critical care transports are safe and positively received, supporting end-of-life care.

Area of Science:

  • Pediatric critical care medicine
  • Palliative care
  • Transport medicine

Background:

  • Transferring critically ill children from pediatric intensive care units (PICUs) to home for palliative care is infrequently described in medical literature.
  • Limited data exists on the safety and parental satisfaction with such specialized transports.

Purpose of the Study:

  • To describe a 10-year experience with pediatric palliative transport from a PICU to home or hospice.
  • To evaluate parental perspectives on their child's transport experience.

Main Methods:

  • Retrospective review of eight pediatric palliative transports over 10 years.
  • A survey administered to parents to assess their satisfaction with the transport experience.

Main Results:

  • No adverse events occurred during any of the intratransport periods.
  • Parents reported positive experiences with the palliative transport service.
  • A dedicated critical care transport service facilitated safe palliative transfers.

Conclusions:

  • Pediatric palliative transport from the ICU to home is a safe and feasible option.
  • Facilitating home-based withdrawal of life support through specialized transport is an acceptable component of holistic end-of-life care for families.
  • Dedicated critical care transport services are essential for enabling safe palliative transfers.

Keywords:
end-of-life carepalliative transportpediatric critical care

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