Palliative sedation with propofol for an adolescent with a DNR order

Liza Marie Johnson; Joel Frader; Joanne Wolfe; Justin N. Baker; Doralina L. Anghelescu; John D. Lantos

doi:10.1542/peds.2017-0487

Palliative sedation with propofol for an adolescent with a DNR order

Liza Marie Johnson, Joel Frader, Joanne Wolfe, Justin N. Baker, Doralina L. Anghelescu, John D. Lantos^*

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Death from cancer is often painful. Usually, the pain can be relieved in ways that allow patients to remain awake and alert until the end. Sometimes, however, the only way to relieve pain is to sedate patients until they are unconscious. This method has been called palliative sedation therapy. Palliative sedation therapy is controversial because it can be misunderstood as euthanasia. We present a case in which an adolescent who is dying of leukemia has intractable pain. Experts in oncology, ethics, pain management, and palliative care discuss the trade-offs associated with different treatment strategies.

Original language	English (US)
Article number	e20170487
Journal	Pediatrics
Volume	140
Issue number	2
DOIs	https://doi.org/10.1542/peds.2017-0487
State	Published - Aug 2017

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1542/peds.2017-0487

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title = "Palliative sedation with propofol for an adolescent with a DNR order",

abstract = "Death from cancer is often painful. Usually, the pain can be relieved in ways that allow patients to remain awake and alert until the end. Sometimes, however, the only way to relieve pain is to sedate patients until they are unconscious. This method has been called palliative sedation therapy. Palliative sedation therapy is controversial because it can be misunderstood as euthanasia. We present a case in which an adolescent who is dying of leukemia has intractable pain. Experts in oncology, ethics, pain management, and palliative care discuss the trade-offs associated with different treatment strategies.",

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AU - Frader, Joel

AU - Wolfe, Joanne

AU - Baker, Justin N.

AU - Anghelescu, Doralina L.

AU - Lantos, John D.

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AB - Death from cancer is often painful. Usually, the pain can be relieved in ways that allow patients to remain awake and alert until the end. Sometimes, however, the only way to relieve pain is to sedate patients until they are unconscious. This method has been called palliative sedation therapy. Palliative sedation therapy is controversial because it can be misunderstood as euthanasia. We present a case in which an adolescent who is dying of leukemia has intractable pain. Experts in oncology, ethics, pain management, and palliative care discuss the trade-offs associated with different treatment strategies.

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Palliative sedation with propofol for an adolescent with a DNR order

Abstract

ASJC Scopus subject areas

UN SDGs

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