Parents demand and teenager refuses epidural anesthesia

Ivor Berkowitz; Alyssa Burgart; Robert D. Truog; Thomas J. Mancuso; Danton Char; John D. Lantos

doi:10.1542/peds.2019-3295

Parents demand and teenager refuses epidural anesthesia

Ivor Berkowitz, Alyssa Burgart, Robert D. Truog, Thomas J. Mancuso, Danton Char, John D. Lantos

School of Medicine

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

1 Scopus citations

Abstract

A 15-year-old girl is scheduled to undergo an upper lobectomy to debulk metastatic Ewing sarcoma. The anesthesiologist recommended placement of a thoracic epidural catheter to provide postoperative analgesia. The patient did not want a needle to be placed near her spine. She was terrified that the procedure would be painful and that it might paralyze her. Although the anesthesiologist reassured her that sedation and local anesthesia would make the procedure comfortable, she remained vehemently opposed to the epidural procedure. The parents spoke privately to the anesthesiologist and asked for placement of the epidural after she was asleep. They firmly believed that this would provide optimal postoperative analgesia and thus would be in her best interest. Experts discuss the pros and cons of siding with the patient or parents.

Original language	English (US)
Article number	e20193295
Journal	Pediatrics
Volume	145
Issue number	6
DOIs	https://doi.org/10.1542/peds.2019-3295
State	Published - Jun 1 2020

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

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title = "Parents demand and teenager refuses epidural anesthesia",

abstract = "A 15-year-old girl is scheduled to undergo an upper lobectomy to debulk metastatic Ewing sarcoma. The anesthesiologist recommended placement of a thoracic epidural catheter to provide postoperative analgesia. The patient did not want a needle to be placed near her spine. She was terrified that the procedure would be painful and that it might paralyze her. Although the anesthesiologist reassured her that sedation and local anesthesia would make the procedure comfortable, she remained vehemently opposed to the epidural procedure. The parents spoke privately to the anesthesiologist and asked for placement of the epidural after she was asleep. They firmly believed that this would provide optimal postoperative analgesia and thus would be in her best interest. Experts discuss the pros and cons of siding with the patient or parents.",

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AU - Berkowitz, Ivor

AU - Burgart, Alyssa

AU - Truog, Robert D.

AU - Mancuso, Thomas J.

AU - Char, Danton

AU - Lantos, John D.

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AB - A 15-year-old girl is scheduled to undergo an upper lobectomy to debulk metastatic Ewing sarcoma. The anesthesiologist recommended placement of a thoracic epidural catheter to provide postoperative analgesia. The patient did not want a needle to be placed near her spine. She was terrified that the procedure would be painful and that it might paralyze her. Although the anesthesiologist reassured her that sedation and local anesthesia would make the procedure comfortable, she remained vehemently opposed to the epidural procedure. The parents spoke privately to the anesthesiologist and asked for placement of the epidural after she was asleep. They firmly believed that this would provide optimal postoperative analgesia and thus would be in her best interest. Experts discuss the pros and cons of siding with the patient or parents.

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Parents demand and teenager refuses epidural anesthesia

Abstract

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