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

Research output: Contribution to journalArticlepeer-review

4 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 languageEnglish (US)
Article numbere20170487
JournalPediatrics
Volume140
Issue number2
DOIs
StatePublished - Aug 2017

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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