2017
DOI: 10.4414/smw.2017.14481
|View full text |Cite
|
Sign up to set email alerts
|

Oncological patients in the intensive care unit: prognosis, decision-making, therapies and end-of-life care

Abstract: The effectiveness of intensive care unit (ICU) care for cancer patients remains controversial. Advances in antitumour and supportive care led to major improvements in outcomes of oncological patients in the ICU. Improved cancer therapies and supportive management of organ dysfunctions have contributed to improved survival rates. As a consequence, the number of cancer patients requiring ICU admission is rising. Frequently, cancer patients have a poor performance status and are vulnerable. It is a heterogeneous … Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
17
0
6

Year Published

2018
2018
2024
2024

Publication Types

Select...
8

Relationship

0
8

Authors

Journals

citations
Cited by 19 publications
(23 citation statements)
references
References 72 publications
0
17
0
6
Order By: Relevance
“…Although these are associated factors that are unlikely to be improved preoperatively, early identification of patients at risk may help in assessing the optimal extent of postoperative monitoring as well as in the preoperative dialogue with the affected patients and/or their family members regarding the realistic expectations of the neurosurgical procedure. As is increasingly the case with regard to postoperative monitoring of many elective craniotomies, the admission of cancer patients to an ICU is a very controversial topic of discussion, partly due to the lack of appropriate guidelines (16,17). During a prolonged ICU stay of cancer patients, communication with family members and/or (depending on vigilance) with the patient herself/himself, plays an important role.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although these are associated factors that are unlikely to be improved preoperatively, early identification of patients at risk may help in assessing the optimal extent of postoperative monitoring as well as in the preoperative dialogue with the affected patients and/or their family members regarding the realistic expectations of the neurosurgical procedure. As is increasingly the case with regard to postoperative monitoring of many elective craniotomies, the admission of cancer patients to an ICU is a very controversial topic of discussion, partly due to the lack of appropriate guidelines (16,17). During a prolonged ICU stay of cancer patients, communication with family members and/or (depending on vigilance) with the patient herself/himself, plays an important role.…”
Section: Discussionmentioning
confidence: 99%
“…During a prolonged ICU stay of cancer patients, communication with family members and/or (depending on vigilance) with the patient herself/himself, plays an important role. In order to act in the best interest of the patient, it is advisable for (neuro)oncologists and intensive care physicians to jointly discuss and guide the ICU treatment of cancer patients (16). The (neuro)oncological assessment of the prognosis and the possible further therapy options/prospects can thus be supplemented by the intensive care medical expertise of what is feasible in intensive care.…”
Section: Discussionmentioning
confidence: 99%
“…La toma de decisiones sobre el tratamiento en la UCI debe equilibrarse entre el deseo del paciente y la evaluación objetiva del resultado médico. Esto último solo se puede lograr en un equipo multidisciplinario de profesionales de CI, oncólogos, cirujanos y expertos en CP, preferiblemente por consenso (29) . Idealmente, la toma de decisiones sobre el tratamiento en la UCI debe realizarse en una etapa temprana en la atención primaria de salud, lo que se conoce como planificación de atención anticipada (30) .…”
Section: Discussionunclassified
“…Exposure to these infections is fairly predictable in any hospitalized patients, as the risk increases with longer LOS and those are critically ill; identifying high-risk population is an achievable goal for any healthcare facility [28][29][30][31][32]. However, this is very different in the cancer care setting who seek care for infection and sepsis, as the predictability is less due to lack of scoring system and survival prediction [33,34]. Risk of infection among UM patient may be multifactorial; patients receiving chemotherapy are at risk of neutropenia-a medical emergency if associated with fever (febrile neutropenia)-an early inflammatory response to a serious infection; oral complications of cancer treatment including mucositis might be a high-risk factor for neutropenia [35,36].…”
Section: Discussionmentioning
confidence: 99%