Baylor College of Medicine Department of Anesthesiology.
Baylor College of Medicine Department of Pediatrics, Texas Children's Hospital Palliative Care Team, Houston, Texas, USA.
Curr Opin Anaesthesiol. 2020 Jun;33(3):354-360. doi: 10.1097/ACO.0000000000000860.
To familiarize pediatric anesthesiologists with primary palliative care procedural communication skills and recommendations for discussions involving complex medical decision-making or advance care planning, such as discussions about resuscitation status.
Recent publications highlight the benefits of pediatric palliative care (PPC) for seriously ill patients and their families, and how PPC principles might be applied to perioperative communication and decision-making. Both prospective and retrospective reports reveal improved quality of life, symptom management, and avoidance of unnecessary interventions when PPC is introduced early for a child with serious illness.
Pediatric anesthesiologists will, at some point, care for a child with serious illness who would benefit from PPC. It is important that all members of the perioperative care team are familiar with primary PPC procedural communication skills and models for approaching discussions about goals of care, shared decision-making, and advance care planning. Pediatric anesthesiologists should be incorporated as early as possible in team discussions about potential procedures requiring sedation for seriously ill children.
使儿科麻醉医生熟悉初级姑息治疗程序沟通技巧，并为涉及复杂医疗决策或预先护理计划的讨论提出建议，例如关于复苏状态的讨论。
最近的出版物强调了儿科姑息治疗（PPC）对重病患儿及其家庭的益处，以及 PPC 原则如何应用于围手术期沟通和决策。前瞻性和回顾性报告都显示，当为患有严重疾病的儿童及早引入 PPC 时，生活质量、症状管理和避免不必要的干预得到改善。
儿科麻醉医生将在某个时候照顾患有严重疾病的儿童，这些儿童将受益于 PPC。围手术期护理团队的所有成员都熟悉初级 PPC 程序沟通技巧以及讨论治疗目标、共同决策和预先护理计划的方法非常重要。儿科麻醉医生应尽早纳入需要对重病儿童进行镇静的潜在程序的团队讨论中。
