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Critical care of patients with cancer
Authors:Alexander Shimabukuro‐Vornhagen MD  Boris Böll MD  Matthias Kochanek MD  Éli Azoulay MD  PhD  Michael S. von Bergwelt‐Baildon MD  PhD
Affiliation:1. Consultant, Medical Intensive Care Program, Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany;2. Member, Cologne‐Bonn Center for Integrated Oncology, University Hospital of Cologne, Cologne, Germany;3. Founding Member, Intensive Care in Hemato‐Oncologic Patients (iCHOP), Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany;4. Head of Medical Intensive Care Program, Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany;5. Program Director, Medical Intensive Care Program, Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany;6. Director, Medical Intensive Care Unit, St. Louis Hospital, Paris, France;7. Professor of Medicine, Teaching and Research Unit, Department of Medicine, Paris Diderot University, Paris, France;8. Chair, Study Group for Respiratory Intensive Care in Malignancies, St. Louis Hospital, Paris, France;9. Professor, Cologne‐Bonn Center for Integrated Oncology, University Hospital of Cologne, Cologne, Germany
Abstract:Answer questions and earn CME/CNE The increasing prevalence of patients living with cancer in conjunction with the rapid progress in cancer therapy will lead to a growing number of patients with cancer who will require intensive care treatment. Fortunately, the development of more effective oncologic therapies, advances in critical care, and improvements in patient selection have led to an increased survival of critically ill patients with cancer. As a consequence, critical care has become an important cornerstone in the continuum of modern cancer care. Although, in many aspects, critical care for patients with cancer does not differ from intensive care for other seriously ill patients, there are several challenging issues that are unique to this patient population and require special knowledge and skills. The optimal management of critically ill patients with cancer necessitates expertise in oncology, critical care, and palliative medicine. Cancer specialists therefore have to be familiar with key principles of intensive care for critically ill patients with cancer. This review provides an overview of the state‐of‐the‐art in the individualized management of critically ill patients with cancer. CA Cancer J Clin 2016;66:496–517. © 2016 American Cancer Society .
Keywords:cancer  critical care  oncology  palliative care
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