Palliative care approaches to neonates with chronic respiratory failure.
Neonates with chronic respiratory failure have uncertain prognosis and can face significant treatment burden. As the trajectory of the illness becomes more concerning, consultation with a pediatric palliative service should be considered, especially as therapeutic options shift from standard to "innovative." Benefits include as follows: supporting emotionally conflicted providers and parents, maintaining transparency in determination of goals, and balancing medical progress with each individual patient's and family's best interests.
Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave, Box #45, Chicago, IL 60611. Electronic address: n-porta@northwestern.edu.
Nicolas F M
NFM
Porta
D001997:Bronchopulmonary Dysplasia / Q000150:complications / Q000628:therapy*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000628:therapy*; D007231:Infant, Newborn; D007234:Infant, Premature; D010166:Palliative Care; D010347:Patient Care Planning; D012121:Respiration, Artificial; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*; D014139:Tracheostomy; D035501:Uncertainty; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents
Bronchopulmonary dysplasia (BPD); Premature/prematurity newborn tracheostomy uncertainty; Pulmonary hypertension (PH)