Intensive care for cancer patients: An interdisciplinary challenge for cancer specialists and intensive care physicians

被引：12

作者：

Schellongowski P. ^{[1
]}

Kiehl M. ^{[2
]}

Kochanek M. ^{[3
]}

Staudinger T. ^{[1
]}

Beutel G. ^{[4
]}

On Behalf of Intensive Care in Hematologic-Oncologic Patients

机构：

[1] Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18–20, Vienna

[2] Department of Internal Medicine I, Klinikum Frankfurt Oder, Frankfurt

[3] Department of Internal Medicine I, University of Cologne, Cologne

[4] Department of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover

来源：

memo - Magazine of European Medical Oncology | 2016年 / 9卷 / 1期

关键词：

Admission Criteria; Cancer; Intensive Care Unit; Prognosis; Respiratory Failure;

D O I：

10.1007/s12254-016-0256-6

中图分类号：

学科分类号：

摘要：

Every sixth to eighth European intensive care unit patient suffers from an underlying malignant disease. A large proportion of these patients present with cancer-related complications. This review explains why the prognosis of critically ill cancer patients has improved substantially over the last decades and which risk factors are of prognostic importance. Furthermore, the main reasons for intensive care unit admission – acute respiratory failure and septic complications – are discussed with regard to diagnostic and therapeutic specifics. In addition, we discuss potential intensive care unit admission criteria with respect to cancer prognosis. The successful management of critically ill cancer patients requires a close collaboration of intensivists with hematologists, oncologists and colleagues from other disciplines, such as infectious disease specialists, microbiologists, radiologists, surgeons, pharmacists, and others. © 2016, The Author(s).

引用

页码：39 / 44

页数：5

共 36 条

[1]

Soares M., Caruso P., Silva E., Et al., Characteristics and outcomes of patients with cancer requiring admission to intensive care units: a prospective multicenter study, Crit Care Med, 38, pp. 9-15, (2010)

[2]

Taccone F.S., Artigas A.A., Sprung C.L., Moreno R., Sakr Y., Vincent J.L., Characteristics and outcomes of cancer patients in European ICUs, Crit Care, 13, (2009)

[3]

Azoulay E., Mokart D., Pene F., Et al., Outcomes of critically ill patients with hematologic malignancies: prospective multicenter data from France and Belgium – a groupe de recherche respiratoire en reanimation onco-hematologique study, J Clin Oncol, 31, pp. 2810-2818, (2013)

[4]

Schellongowski P., Staudinger T., Kundi M., Et al., Prognostic factors for intensive care unit admission, intensive care outcome, and post-intensive care survival in patients with de novo acute myeloid leukemia: a single center experience, Haematologica, 96, pp. 231-237, (2011)

[5]

Pastores S.M., Voigt L.P., Acute respiratory failure in the patient with cancer: diagnostic and management strategies, Crit Care Clin, 26, pp. 21-40, (2010)

[6]

Azoulay E., Lemiale V., Mokart D., Et al., Acute respiratory distress syndrome in patients with malignancies, Intensive Care Med, 40, pp. 1106-1114, (2014)

[7]

Chaoui D., Legrand O., Roche N., Et al., Incidence and prognostic value of respiratory events in acute leukemia, Leukemia, 18, pp. 670-675, (2004)

[8]

Hilbert G., Gruson D., Vargas F., Et al., Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure, N Engl J Med, 344, pp. 481-487, (2001)

[9]

Azoulay E., Alberti C., Bornstain C., Et al., Improved survival in cancer patients requiring mechanical ventilatory support: impact of noninvasive mechanical ventilatory support, Crit Care Med, 29, pp. 519-525, (2001)

[10]

Azoulay E., Schlemmer B., Diagnostic strategy in cancer patients with acute respiratory failure, Intensive Care Med, 32, pp. 808-822, (2006)

← 1 2 3 4 →