Palliative care in the neonatal period. Part one: General considerations

被引:17
作者
Betremieux, P. [1 ]
Gold, F. [2 ]
Parat, S. [3 ]
Caeymaex, L. [4 ]
Danan, C. [5 ]
De Dreuzy, P. [6 ]
Vernier, D. [7 ]
Viallard, M. -L. [8 ]
Kuhn, P. [9 ]
机构
[1] CHU Rennes, Hop Sud, Unite Reanimat Pediat, F-35203 Rennes 2, France
[2] Hop Trousseau, AP HP, Serv Neonatol, F-75571 Paris, France
[3] Hop Necker Enfants Malad, AP HP, Serv Maternite, F-75015 Paris, France
[4] Grp Hosp Cochin St Vincent de Paul, AP HP, Serv Med Neonatale Port Royal, F-75014 Paris, France
[5] CHI Creteil, Serv Neonatol, F-94010 Creteil, France
[6] Hop Necker Enfants Malad, Equipe Douleur, Serv Pediat, F-75015 Paris, France
[7] Hop Robert Debre, Serv Gynecol Obstet, F-75019 Paris 19E, France
[8] Hop Necker Enfants Malad, Equipe Mobile Accompagnement & Soins Palliatifs, F-75019 Paris, France
[9] CHU Strasbourg, Serv Med & Reanimat Neonatale, F-67000 Strasbourg, France
来源
ARCHIVES DE PEDIATRIE | 2010年 / 17卷 / 04期
关键词
PAIN; SCALE; LIFE; END;
D O I
10.1016/j.arcped.2010.01.018
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In France, the law dated 22 April 2005 required that all practitioners offer palliative care to patients as an alternative to unreasonable obstinacy. The practical development of palliative care during the neonatal period is not easy, even though obstetricians and neonatologists have always been aware of the ethical necessity of comfort in the dying newborn. The decision leading to palliative care begins with the recognition of patent or potential unreasonable obstinacy, followed by withdrawing treatment and technical support, and finally a palliative care plan is drawn up with the medical team and the parents.
引用
收藏
页码:409 / 412
页数:4
相关论文
共 8 条
[1]   APN: A behavioral acute pain rating scale for neonates. [J].
Carbajal, R ;
Paupe, A ;
Hoenn, E ;
Lenclen, R ;
OlivierMartin, M .
ARCHIVES DE PEDIATRIE, 1997, 4 (07) :623-628
[2]   End of life in neonatal medicine by the light of French law [J].
Dageville, C. ;
Rameix, S. ;
Andrini, P. ;
Betremieux, P. ;
Jarreau, P.-H. ;
Kuhn, P. ;
Oriot, D. .
ARCHIVES DE PEDIATRIE, 2007, 14 (10) :1219-1230
[3]   Development and initial validation of the EDIN scale, a new tool for assessing prolonged pain in preterm infants [J].
Debillon, T ;
Zupan, V ;
Ravault, N ;
Magny, JF ;
Dehan, M .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2001, 85 (01) :F36-F40
[4]  
Dehan M, 2001, ARCH PEDIATRIE, V8, P407
[5]   PAIN EXPRESSION IN NEONATES - FACIAL ACTION AND CRY [J].
GRUNAU, RVE ;
CRAIG, KD .
PAIN, 1987, 28 (03) :395-410
[6]  
Ista Erwin, 2005, Pediatr Crit Care Med, V6, P58, DOI 10.1097/01.PCC.0000149318.40279.1A
[7]  
*NUFF COUNC BIOETH, 2006, CRIT CAR DEC FET NEO, P97
[8]  
2005, J OFFICIEL REPU 0423, P7089