Critical Care Outcomes in the Hematologic Transplant Recipient

被引:9
作者
McArdle, John R. [1 ]
机构
[1] Yale Univ, Sch Med, Dept Med, Sect Pulm & Crit Care Med, New Haven, CT 06073 USA
关键词
Bone marrow transplantation; Stem cell transplantation; Critical illness; Respiratory failure; Multiorgan system failure; Mechanical ventilation; BONE-MARROW-TRANSPLANTATION; STEM-CELL TRANSPLANTATION; CHILDREN REQUIRING ADMISSION; ONCOLOGICAL PEDIATRIC RISK; INVASIVE FUNGAL-INFECTIONS; INTENSIVE-CARE; ANTIFUNGAL PROPHYLAXIS; NEUTROPENIC PATIENTS; RESPIRATORY-FAILURE; CYTOMEGALOVIRUS DISEASE;
D O I
10.1016/j.ccm.2008.10.002
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Critical illness is a dreaded complication in recipients of hematologic stem cell transplantation, with poor survival described in a number of early series. The perception of futility may impact the approach to therapy. Over the last 20 years, there have been significant advances in the application of intensive care, as well as changes in the management of patients before, during, and after transplantation. These advances and changes may have an impact on this traditionally poor survival. This article discusses the outcomes of critical illness in bone marrow and stem cell transplant recipients, and gives possible reasons for the apparent improvement in outcomes seen in more recent series.
引用
收藏
页码:155 / +
页数:15
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