Granted those doses are super high, but if your withdrawing care how much narcotic is appropriate? A very well respected peds anesthesia/icu had an criminal charge brought up against her for giving fentanyl 5-10mcg/kg as comfort measures for kids with fatal cancers/diseases (remember these kids live on narcs for years!). Took 2 yrs to clear her name from an anonymous nursing write up. All I know is that if they are gonna pull the plug on me, give me 5mg dilaudid first. I dont want to die choking from air hunger.