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[Descriptive analysis of palliative sedation in a pediatric palliative care unit]

Iñigo de Noriega1, Manuel Rigal Andrés2, Ricardo Martino Alba2

  • 1Servicio de Pediatría. Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, España.

Anales De Pediatria
|February 22, 2021
PubMed

Insights

Creating a quality standard for pediatric palliative sedation (PS) is useful. A review and retrospective analysis identified areas for improvement in PS indications, consent, and sedative dosing for children.

Area of Science:

  • Pediatric Palliative Care
  • Clinical Quality Improvement
  • Sedation Management

Context:

  • Limited data exists on palliative sedation in pediatric patients.
  • Palliative care aims to improve quality of life for children with serious illnesses.
  • Sedation is used to manage refractory symptoms.

Purpose:

  • To assess the utility of a quality standard for pediatric palliative sedation.
  • To establish a definition for pediatric palliative sedation.
  • To retrospectively analyze the application of palliative sedation in a pediatric unit.

Summary:

  • A non-systematic literature review identified recommendations for pediatric palliative sedation.
  • A definition was created based on indication, consent, and application.
  • Retrospective analysis of 17 pediatric palliative sedation cases revealed areas for improvement, particularly in documentation of consent, symptom refractoriness, and initial sedative dose titration.

Impact:

  • The developed definition facilitated analysis of clinical practice.
  • Identified specific areas needing improvement in pediatric palliative sedation protocols.
  • Aims to enhance the quality of palliative sedation for children facing life-limiting conditions.
Abstract

Keywords:
AdolescentesAdolescentsChildCuidado terminalCuidados paliativosEnd of life careNiñoPalliative care

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