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Dublin Core
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Title
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November 2019 List
Text
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Citation List Month
November 2019 List
URL Address
<a href="http://doi.org/10.1016/j.jped.2019.07.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jped.2019.07.005</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Palliative extubation: five-year experience in a pediatric hospital
Publisher
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Jornal de Pediatria
Date
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2019
Subject
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Children; Criancas; Cuidados no fim da vida; Cuidados paliativos; End-of-life care; Ethics; Etica; Extubacao paliativa; Palliative care; Palliative extubation; Suspensao de tratamento; Withdrawal treatment
Creator
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Affonseca CA; Carvalho LFA; Quinet RPB; Guimaraes MCDC; Cury VF; Rotta AT
Description
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OBJECTIVE: To present the characteristics of pediatric patients with chronic and irreversible diseases who underwent palliative extubation. METHOD: This is a descriptive analysis of a case series of patients admitted to a public pediatric hospital, with chronic and irreversible diseases, permanently dependent on ventilatory support, who underwent palliative extubation between April 2014 and May 2019. The following information was collected from the medical records: demographic data, diagnosis, duration and type of mechanical ventilation; date, time, and place of palliative extubation; medications used; symptoms observed; and hospital outcome. RESULTS: A total of 19 patients with a mean age of 2.2 years underwent palliative extubation. 68.4% of extubations were performed in the ICU; 11 patients (57.9%) died in the hospital. The time between mechanical ventilation withdrawal and in-hospital death ranged from 15min to five days. Thirteen patients had an orotracheal tube and the others a tracheostomy. The main symptoms were dyspnea and pain, and the main drugs used to control symptoms were opioids and benzodiazepines. CONCLUSIONS: It was not possible to identify predictors of in-hospital death after ventilatory support withdrawal. Palliative extubation requires specialized care, with the presence and availability of a multidisciplinary team with adequate training in symptom control and palliative care.
Identifier
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<a href="http://doi.org/10.1016/j.jped.2019.07.005" target="_blank" rel="noreferrer noopener">10.1016/j.jped.2019.07.005</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Affonseca CA
Carvalho LFA
Children
Criancas
Cuidados no fim da vida
Cuidados paliativos
Cury VF
End-of-life Care
Ethics
Etica
Extubacao paliativa
Guimaraes MCDC
Jornal De Pediatria
November 2019 List
Palliative Care
Palliative Extubation
Quinet RPB
Rotta AT
Suspensao de tratamento
Withdrawal treatment