Respiratory Panic - Paediatric Palliative Care
Description General and supportive care Medicine treatment DESCRIPTION Sudden onset of severe respiratory distress sometimes experienced with an end of life event such as pulmonary embolus, pneumothorax, pulmonary oedema, SVC syndrome, upper airway obstruction, and bleed into CNS tumour. GENERAL AND SUPPORTIVE CARE Remain calm and provide reassurance. Position in semi-fowlers position. Gentle suc
DESCRIPTION
Sudden onset of severe respiratory distress sometimes experienced with an end of life event such as pulmonary embolus, pneumothorax, pulmonary oedema, SVC syndrome, upper airway obstruction, and bleed into CNS tumour.
GENERAL AND SUPPORTIVE CARE
- Remain calm and provide reassurance.
- Position in semi-fowlers position.
- Gentle suctioning.
- Supplemental oxygen.
MEDICINE TREATMENT
If no IV line, use buccal midazolam and morphine:
- Midazolam: 500 mcg/kg and morphine 100 mcg/kg repeating every 10– 30 minutes as needed until child settles or subcutaneous infusion is commenced.
Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter: 21. Palliative Care, 21.2 Paediatric Palliative Care Emergencies, 21.2.3 Respiratory Panic