ArticleJornal de pediatria
Palliative extubation: five-year experience in a pediatric hospital.
Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 17 citations in OpenAlex.
- Practice of pediatric palliative extubation in Brazil: a case series.Critical care science · 2025Article
- Palliative Extubation in Pediatric Patients in the Intensive Care Unit and at Home: A Scoping Review.International journal of pediatrics · 2023Article
- End-of-life care in Brazilian Pediatric Intensive Care Units.Jornal de pediatriaArticle
- End-of-life care in Brazilian pediatric intensive care units: challenges and opportunities.Jornal de pediatriaArticle
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo present the characteristics of pediatric patients with chronic and irreversible diseases submitted to palliative extubation.
methodThis is a descriptive analysis of a series of patients admitted to a public pediatric hospital, with chronic and irreversible diseases, permanently dependent on ventilatory support, who underwent palliative extubation between April 2014 and May 2019. The following information was collected from the medical records: demographic data, diagnosis, duration and type of mechanical ventilation; date, time, and place of palliative extubation; medications used; symptoms observed; and hospital outcome.
resultsA total of 19 patients with a mean age of 2.2 years were submitted to palliative extubation. 68.4% of extubations were performed in the ICU; 11 patients (57.9%) died in the hospital. The time between mechanical ventilation withdrawal and in-hospital death ranged from 15minutes to five days. Thirteen patients used an orotracheal tube and the others used tracheostomy. The main symptoms were dyspnea and pain, and the main drugs used to control symptoms were opioids and benzodiazepines.
conclusionsIt was not possible to identify predictors of in-hospital death after ventilatory support withdrawal. Palliative extubation requires specialized care, with the presence and availability of a multidisciplinary team with adequate training in symptom control and palliative care.
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