| Literature DB >> 28725926 |
Elie Azoulay1,2, Peter Schellongowski3, Michael Darmon4, Philippe R Bauer5, Dominique Benoit6, Pieter Depuydt6, Jigeeshu V Divatia7, Virginie Lemiale8, Maarten van Vliet9, Anne-Pascale Meert10, Djamel Mokart11, Stephen M Pastores12, Anders Perner13, Frédéric Pène14, Peter Pickkers9, Kathryn A Puxty15, Francois Vincent16, Jorge Salluh17, Ayman O Soubani18, Massimo Antonelli19, Thomas Staudinger3, Michael von Bergwelt-Baildon20, Marcio Soares21.
Abstract
Over the coming years, accelerating progress against cancer will be associated with an increased number of patients who require life-sustaining therapies for infectious or toxic chemotherapy-related events. Major changes include increased number of cancer patients admitted to the ICU with full-code status or for time-limited trials, increased survival and quality of life in ICU survivors, changing prognostic factors, early ICU admission for optimal monitoring, and use of noninvasive diagnostic and therapeutic strategies. In this review, experts in the management of critically ill cancer patients highlight recent changes in the use and the results of intensive care in patients with malignancies. They seek to put forward a standard of care for the management of these patients and highlight important updates that are required to care for them. The research agenda they suggest includes important studies to be conducted in the next few years to increase our understanding of organ dysfunction in this population and to improve our ability to appropriately use life-saving therapies or select new therapeutic approaches that are likely to improve outcomes. This review aims to provide more guidance for the daily management of patients with cancer, in whom outcomes are constantly improving, as is our global ability to fight against what is becoming the leading cause of mortality in industrialized and non-industrialized countries.Entities:
Keywords: Acute respiratory failure; Bone marrow transplantation; Bronchoscopy; Cancer; Mechanical ventilation; Neutropenia; Oxygen; Septic shock
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Year: 2017 PMID: 28725926 DOI: 10.1007/s00134-017-4884-z
Source DB: PubMed Journal: Intensive Care Med ISSN: 0342-4642 Impact factor: 17.440