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Med Klin Intensivmed Notfmed. 2013 May;108(4):295-302. doi: 10.1007/s00063-012-0196-9. Epub 2013 Feb 28.

[Chronic critically ill patients from the perspective of hematologists/oncologists].

[Article in German]

Author information

  • 1Universitätsklinik für Innere Medizin I, Intensivstation 13.i2, Medizinische Universität Wien, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. thomas.staudinger@meduniwien.ac.at

Abstract

Many factors contribute to making critically ill patients with underlying hematological or oncological diseases into a special collective on intensive care units, such as an often incurable or at least doubtfully curable underlying disease, therapy associated complications and a commonly present immunosuppression. The prognosis of these patients has clearly improved in recent years so that a general reluctance in deciding to treat these patients in intensive care units can no longer be justified. Comprehensive infection diagnostics and a guideline oriented causal and supportive treatment can improve the prognosis of sepsis even in hematology/oncology patients. In the therapy of respiratory failure non-invasive ventilation is of great importance for a reduction in mortality if used early and contraindications, such as termination criteria are considered. Considerations on long-term prognosis, quality of life and palliative care are increasingly becoming topics in intensive care medicine.

PMID:
23443518
[PubMed - indexed for MEDLINE]
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