Cignacco E, Stoffel L, Raio L, Schneider H, Nelle M
Frauenklinik, Universitätsspital Insel Bern, Schweiz.
Z Geburtshilfe Neonatol. 2004 Aug;208(4):155-60. doi: 10.1055/s-2004-827222.
Neonates and infants have the highest mortality rate in the pediatric patient population, but there is a paucity of data about their palliative care. Most neonate deaths occur during the first week of life so it is mostly the staff of NICUS's and obstetrical wards who are confronted with the palliative care of dying neonates. Clinical experience shows that many aspects of care in palliative situations are not well known to the health care providers. This is especially true for pain assessment and pain treatment during the dying process. A search of the literature on this subject resulted in only a few publications; hence, this article basically describes clinical experience in the palliative care of neonates. In this article some recommendations for decision-making and standardization of palliative care for dying neonates are presented.
新生儿和婴儿在儿科患者群体中死亡率最高,但关于他们的姑息治疗的数据却很匮乏。大多数新生儿死亡发生在出生后的第一周,因此主要是新生儿重症监护病房(NICUS)和产科病房的工作人员面临着濒死新生儿的姑息治疗。临床经验表明,医疗服务提供者对姑息治疗中许多护理方面并不了解。在濒死过程中的疼痛评估和疼痛治疗尤其如此。对该主题的文献检索仅得到了少数几篇出版物;因此,本文主要描述了新生儿姑息治疗的临床经验。本文还提出了一些关于濒死新生儿姑息治疗决策和标准化的建议。