重症监护病房中的儿科姑息治疗

Pediatric Palliative Care in the Intensive Care Unit.

作者信息

Madden Kevin, Wolfe Joanne, Collura Christopher

机构信息

Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1414, Houston, TX 77030, USA.

Pediatric Palliative Care, Pediatric Palliative Care Service, Department of Psychosocial Oncology and Palliative Care, Children's Hospital Boston, Dana-Farber Cancer Institute, Harvard Medical School, DA2-012, 450 Brookline Avenue, Boston, MA 02215, USA.

出版信息

Crit Care Nurs Clin North Am. 2015 Sep;27(3):341-54. doi: 10.1016/j.cnc.2015.05.005. Epub 2015 Jun 27.

DOI:10.1016/j.cnc.2015.05.005

PMID:26333755

Abstract

The chronicity of illness that afflicts children in Pediatric Palliative Care and the medical technology that has improved their lifespan and quality of life make prognostication extremely difficult. The uncertainty of prognostication and the available medical technologies make both the neonatal intensive care unit and the pediatric intensive care unit locations where many children will receive Pediatric Palliative Care. Health care providers in the neonatal intensive care unit and pediatric intensive care unit should integrate fundamental Pediatric Palliative Care principles into their everyday practice.

摘要

儿科姑息治疗中折磨儿童的疾病的慢性特征，以及延长了他们寿命并改善了其生活质量的医疗技术，使得预后判断极其困难。预后的不确定性和现有的医疗技术，使得新生儿重症监护病房和儿科重症监护病房成为许多儿童将接受儿科姑息治疗的场所。新生儿重症监护病房和儿科重症监护病房的医疗服务提供者应将基本的儿科姑息治疗原则融入日常实践中。