Application of the PALIA-Obstetric code as a palliative care protocol in a pediatric brain tumor with poor prognosis: a case report
Ricardo E. Bueno-Gómez, Clínica del Dolor y Cuidados Paliativos, Servicio de Anestesiología, Hospital Universitario “Dr. José Eleuterio González” Universidad Autónoma de Nuevo León, Monterrey, Nuevo Léon, Mexico
Edna V. García-Novoa, Clínica del Dolor y Cuidados Paliativos, Servicio de Anestesiología, Hospital Universitario “Dr. José Eleuterio González” Universidad Autónoma de Nuevo León, Monterrey, Nuevo Léon, Mexico
Loaida E. Santillán-Segura, Clínica del Dolor y Cuidados Paliativos, Servicio de Anestesiología, Hospital Universitario “Dr. José Eleuterio González” Universidad Autónoma de Nuevo León, Monterrey, Nuevo Léon, Mexico
Angel R. Villalobos-Martinez, Clínica del Dolor y Cuidados Paliativos, Servicio de Anestesiología, Hospital Universitario “Dr. José Eleuterio González” Universidad Autónoma de Nuevo León, Monterrey, Nuevo Léon, Mexico
Karen P. Segovia-Sandoval, Clínica del Dolor y Cuidados Paliativos, Servicio de Anestesiología, Hospital Universitario “Dr. José Eleuterio González” Universidad Autónoma de Nuevo León, Monterrey, Nuevo Léon, Mexico
Teresa A. Nava-Obregón, Clínica del Dolor y Cuidados Paliativos, Servicio de Anestesiología, Hospital Universitario “Dr. José Eleuterio González” Universidad Autónoma de Nuevo León, Monterrey, Nuevo Léon, Mexico
Diffuse intrinsic pontine glioma (DIPG) is a highly aggressive pediatric brain tumor with a poor prognosis, particularly in neonates, where its rapid progression raises significant clinical and ethical concerns. Pediatric palliative care provides a framework for addressing these challenges by prioritizing comfort, family support, and shared decision-making. This article proposes a structured model for early neonatal oncology care, aiming to enhance symptom control, minimize futile interventions, and promote home-based care within a multidisciplinary and humanistic perspective. To establish a rapid and effective care pathway for oncology patients requiring palliative care that ensures, facilitates, and promotes early identification, comprehensive optimization, and multidisciplinary communication. We present a case of a newborn diagnosed with DIPG in whom a multidisciplinary approach strategy was activated. This promoted on-demand interaction, strengthened emotional bonds, and prioritized comfort and family-centered accompaniment. The code highlights a vulnerable situation where clinical decisions align with the palliative care model, which is reproducible and applicable, providing comprehensive ethical support that prioritizes quality of life.
Keywords: Palliative care. Obstetrics. Newborn. Glioma.
