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Updated: Jan 12, 2026
11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
18.3K
Palliative extubation in pediatrics: a scoping review.
Carolina de Araújo Affonseca1, Luís Fernando Andrade de Carvalho2, Lêni Márcia Anchieta3
1Unimed Belo Horizonte, Belo Horizonte, MG, Brazil.
Jornal De Pediatria
|November 2, 2025
Summary
Palliative extubation in children involves specific practices and experiences. Understanding these is crucial for effective clinical decisions in pediatric palliative care.
Area of Science:
- Pediatric critical care medicine
- Palliative care research
- Evidence synthesis
Background:
- Palliative extubation in pediatrics is an evolving area within palliative care.
- Limited synthesized evidence exists on current practices and patient experiences.
Purpose of the Study:
- To systematically review and synthesize existing literature on palliative extubation in pediatric patients.
- To identify knowledge gaps and future research directions in this specialized field.
Main Methods:
- Systematic literature review following PRISMA-ScR and JBI Collaboration guidelines.
- Searches across major databases (PubMed, Scopus, Web of Science, etc.) for studies on pediatric palliative extubation.
- Data extraction and quality appraisal by two independent reviewers.
Main Results:
- Twelve articles (8 case reports, 4 cross-sectional studies) involving 129 patients were included.
- Palliative extubation predominantly occurred in hospital ICUs (72.6%), utilizing endotracheal tubes (93%).
- Analgesia/sedation was common (95.3%), with most patients (90.6%) dying after withdrawal of support.
Conclusions:
- Synthesized knowledge on pediatric palliative extubation practices and experiences is vital.
- Informed decision-making requires understanding challenges to ensure timely and appropriate procedures.
- Further research is needed to optimize care delivery in pediatric palliative extubation.
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