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2016 ; 1
(5
): e000018
Nephropedia Template TP
gab.com Text
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Critically ill patients with cancer: chances and limitations of intensive care
medicine-a narrative review
#MMPMID27843637
Schellongowski P
; Sperr WR
; Wohlfarth P
; Knoebl P
; Rabitsch W
; Watzke HH
; Staudinger T
ESMO Open
2016[]; 1
(5
): e000018
PMID27843637
show ga
This narrative review deals with the challenge of defining adequate therapy goals
and intensive care unit (ICU) admission criteria for critically ill patients with
cancer. Several specific complications of critically ill patients with cancer
require close collaborations of intensive care and cancer specialists.
Intensivists require a basic understanding of the pathophysiology, diagnosis and
therapy of common cancer-specific problems. Cancer specialists must be
knowledgeable in preventing, detecting and treating imminent or manifest organ
failures. In case of one or more organ dysfunctions, ICU admissions must be
evaluated early. In order to properly define the therapy goals for critically ill
patients with cancer, decision-makers must be aware of the short-term intensive
care prognosis as well as the long-term oncological options and perspectives.
Multidisciplinary teamwork is key when it comes down to decisions on ICU
admission, planning of therapeutic aims, patient management in the ICU and
tailored therapy limiting with smooth transition into a palliative care (PC)
setting, whenever appropriate.