We are entering a new era of integration between neonatal medicine and paediatric palliative care, with increasing recognition that the role and skills of palliative care extend beyond care of only the terminally ill infant. This paper addresses the principles of paediatric palliative care and how they apply in the NICU, considers who provides palliative care in this setting and outlines the key components of care. We consider how the international standards of palliative care pertain to neonatal medicine and how a fully integrated approach to care may be realised across these two disciplines.

Palliative care is so much more than end-of-life care, offering a proactive and holistic approach which addresses the physical, emotional, spiritual and social needs of the infant and family. This is a truly interdisciplinary endeavour, relying on a harmonisation of the skills from both the neonatal and palliative care teams to deliver high-quality coordinated care.

我们正在进入一个新生儿医学与儿科姑息治疗相结合的新时代，人们越来越认识到姑息治疗的作用和技能不仅仅是对绝症婴儿的护理。本文阐述了儿科姑息治疗的原则及其在 NICU 中的应用方式，考虑了在这种情况下由谁提供姑息治疗，并概述了护理的关键组成部分。我们考虑姑息治疗的国际标准如何与新生儿医学相关，以及如何在这两个学科中实现完全整合的护理方法。

姑息治疗远不止临终关怀，它提供一种积极主动的整体方法来解决婴儿和家庭的身体、情感、精神和社会需求。这是一项真正的跨学科努力，依靠新生儿和姑息治疗团队的技能协调来提供高质量的协调护理。