TY - JOUR
T1 - Home extubation by a pediatric critical care team
T2 - Providing a compassionate death outside the pediatric intensive care unit
AU - Needle, Jennifer Susan
PY - 2010/5
Y1 - 2010/5
N2 - Our objective is to present a case report of home extubation by a pediatric intensive care team in a terminally ill pediatric patient. Literature relevant to home extubation will be reviewed. The design is a case report. Home extubation of critically ill children may offer significant benefits and an alternative end-of-life option for families. Allowing a child to die at home creates an opportunity for families to maintain privacy and to better address their spiritual and cultural needs at the time of death. Before offering home extubation to families, hospitals should prepare families for the experience and address the availability of staff to comfort parents and provide bereavement support. Medicolegal as well as cost issues for the hospital related to home extubation should be explored before the implementation of a program of this nature. This case illustrates that home extubation is a creative, compassionate, and culturally sensitive alternative to hospital-based end-of-life care involving the pediatric intensivist, transport teams, and primary care physicians.
AB - Our objective is to present a case report of home extubation by a pediatric intensive care team in a terminally ill pediatric patient. Literature relevant to home extubation will be reviewed. The design is a case report. Home extubation of critically ill children may offer significant benefits and an alternative end-of-life option for families. Allowing a child to die at home creates an opportunity for families to maintain privacy and to better address their spiritual and cultural needs at the time of death. Before offering home extubation to families, hospitals should prepare families for the experience and address the availability of staff to comfort parents and provide bereavement support. Medicolegal as well as cost issues for the hospital related to home extubation should be explored before the implementation of a program of this nature. This case illustrates that home extubation is a creative, compassionate, and culturally sensitive alternative to hospital-based end-of-life care involving the pediatric intensivist, transport teams, and primary care physicians.
KW - Critical care
KW - End-of-life
KW - Pediatrics
UR - http://www.scopus.com/inward/record.url?scp=77952311797&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77952311797&partnerID=8YFLogxK
U2 - 10.1097/PCC.0b013e3181c0143f
DO - 10.1097/PCC.0b013e3181c0143f
M3 - Review article
C2 - 19838140
AN - SCOPUS:77952311797
SN - 1529-7535
VL - 11
SP - 401
EP - 403
JO - Pediatric Critical Care Medicine
JF - Pediatric Critical Care Medicine
IS - 3
ER -