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Updated: Aug 22, 2025

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

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Update on the palliative care approach at the pediatric intensive care unit

Alberto García-Salido1, Álvaro Navarro-Mingorance2, Ricardo Martino-Alba2

  • 1Servicio de Cuidados Intensivos Pediátricos, Hospital Infantil Universitario Niño Jesús, Madrid, España. citopensis@yahoo.es.

Archivos Argentinos De Pediatria
|November 14, 2022
PubMed

Insights

Pediatric palliative care enhances quality of life for critically ill children facing fatal prognoses. This study details integrating palliative care in pediatric intensive care units, covering key aspects from decision-making to symptom management and sedation.

Area of Science:

  • Pediatrics
  • Palliative Care
  • Intensive Care Medicine

Background:

  • Pediatric palliative care focuses on improving quality of life for children with life-limiting conditions.
  • End-of-life care decisions are frequent in pediatric intensive care units (PICUs).
  • Integrating palliative care into PICUs is a crucial advancement for severely ill children.

Purpose of the Study:

  • To provide an updated overview of palliative care in pediatric intensive care.
  • To describe the characteristics and indications for palliative care in this setting.
  • To outline key components of palliative care delivery in PICUs.

Main Methods:

  • Review of current practices and literature on pediatric palliative care in intensive care.
  • Description of palliative care initiation and decision-making processes.
  • Analysis of communicative aspects, pharmacotherapy, symptom control, and palliative sedation.

Main Results:

  • Palliative care integration in PICUs addresses complex end-of-life care needs.
  • Key elements include structured initiation, shared decision-making, and effective communication.
  • Comprehensive symptom management and appropriate use of palliative sedation are vital.

Conclusions:

  • Palliative care is an essential component of modern pediatric intensive care.
  • Effective implementation requires attention to communication, decision-making, and symptom relief.
  • This approach optimizes care for children with fatal prognoses and their families.

Keywords:
critical carepalliative carepediatricsterminal care

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