Palliative care approaches to neonates with chronic respiratory failure |
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Affiliation: | 1. Pregnancy Loss Research Group, Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland;2. Cork University Maternity Hospital, Wilton, Cork, Ireland;3. National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland;4. The Irish Centre for Fetal and Neonatal Translational Research (INFANT), University College Cork, Cork, Ireland |
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Abstract: | 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. |
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Keywords: | Bronchopulmonary dysplasia (BPD) Pulmonary hypertension (PH) Premature/prematurity newborn tracheostomy uncertainty |
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