Parents demand and teenager refuses epidural anesthesia

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

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Article numbere20193295
JournalPediatrics
Volume145
Issue number6
DOIs
StatePublished - Jun 1 2020

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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