RT Journal Article
T1 Sedation in pediatric palliative care: The role of pediatric palliative care teams
A1 Peláez-Cantero, María José
A1 Morales-Asencio, José Miguel
A1 Parra Plantagenet-Whyte, Fátima
A1 Leyva Carmona, Moisés
A1 Rosique Antonelli, Mireille
A1 Gili Bigatá, Teresa
A1 Martino-Alba, Ricardo
K1 Tratamiento paliativo
K1 Cuidados terminales
K1 Niños - Asistencia hospitalaria
K1 Niños - Cuidado
K1 Analgesia
AB Objectives. Palliative sedation (PS) consists of the use of drugs to alleviate the suffering ofpatients with refractory symptoms, through a reduction in consciousness.The aim of this studyis to describe the incidence of and indications for PS in patients treated by pediatric palliativecare teams (PPCT), and the relationship between PS, the place of death, and the characteristicsof the care teams.Methods. Ambispective study with the participation of 14 PPCT working in Spain.Results. From January to December 2019, a total of 164 patients attended by these PPCT died.Of these, 83 (50.6%) received PS during their last 24 hours. The most frequent refractory symp toms were terminal suffering (n = 40, 48.2%), dyspnea (n = 9, 10.8%), pain (n = 8, 9.6%),and convulsive state (n = 7, 8.4%). Sedation in the last 24 hours of life was more likely if thepatient died in hospital, rather than at home (62.9% vs. 33.3%, p < 0.01); if the parents had notexpressed their preference regarding the place of death (69.2% vs. 45.2%, p = 0.009); and if thePPCT had less than 5 years’ experience (66.7% vs. 45.5%, p = 0.018).Significance of results. PS is a real possibility in pediatric end-of-life care and relates to careplanning and team expertise.
PB Cambridge University Press
YR 2023
FD 2023
LK https://hdl.handle.net/10630/27644
UL https://hdl.handle.net/10630/27644
LA eng
NO Peláez Cantero MJ, Morales Asencio JM, Parra Plantagenet-Whyte F, Leyva Carmona M, Rosique Antonelli M, Gili Bigatá T, Martino Alba R (2023). Sedation in pediatric palliative care: The role of pediatric palliative care teams. Palliative and Supportive Care. https://doi.org/10.1017/S1478951523000846
NO Funding for open access charge: Universidad de Málaga/CBUA
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026