沙特儿科重症监护病房的“不要复苏”医嘱。
Do not resuscitate orders in a Saudi pediatric intensive care unit.
作者信息
Al-Ayed Tareq, Rahmo Nabil
机构信息
Section of Critical Care, Department of Pediatrics, King Faisal Specialist Hospital & Research Centre, PO Box 3354, Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (11) 4427763. Fax. +966 (11) 4427784. E-mail: tayaed @kfshrc.edu.sa.
出版信息
Saudi Med J. 2014 Jun;35(6):561-5.
OBJECTIVE
To determine the percentage of deaths in the pediatric intensive care unit (PICU) attributed to do not resuscitate (DNR) orders, and to compare our DNR practice with the international experience.
METHODS
Retrospective chart review of all children less than 14 years of age who died in the PICU at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia from January 2007 to June 2009 (n=154).
RESULTS
The main mode of death was attributed to DNR orders in 79 cases (51%), failed cardiopulmonary resuscitation in 60 cases (39%), and brain death in 15 cases (10%). Of the 79 DNR orders, 46 (58%) were related to withdrawal of life support measures.
CONCLUSION
The DNR is the most common cause of death in the PICU in tertiary hospitals in Saudi Arabia. To minimize the suffering of the dying child, life support limitation should be considered for children with terminal or untreatable diseases with low chances of survival.
目的
确定儿科重症监护病房（PICU）中因“不要复苏”（DNR）医嘱导致的死亡百分比，并将我们的DNR实践与国际经验进行比较。
方法
对2007年1月至2009年6月在沙特阿拉伯利雅得法赫德国王专科医院及研究中心PICU死亡的所有14岁以下儿童进行回顾性病历审查（n = 154）。
结果
主要死亡方式归因于DNR医嘱的有79例（51%），心肺复苏失败的有60例（39%），脑死亡的有15例（10%）。在79例DNR医嘱中，46例（58%）与撤除生命支持措施有关。
结论
在沙特阿拉伯三级医院的PICU中，DNR是最常见的死亡原因。为了尽量减少濒死儿童的痛苦，对于患有终末期或无法治疗且存活机会低的疾病的儿童，应考虑限制生命支持。
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