Quels malades peuvent et doivent aller en réanimation ?: Which patients can and should go to intensive care?
Advanced care planning ICU trial Intensive care unit Organ dysfunction lung neoplasm

Journal

Revue des maladies respiratoires actualites
ISSN: 1877-1203
Titre abrégé: Rev Malad Respir Actual
Pays: France
ID NLM: 101517384

Informations de publication

Date de publication:
Sep 2021
Historique:
entrez: 18 10 2021
pubmed: 19 10 2021
medline: 19 10 2021
Statut: ppublish

Résumé

When a lung cancer patient develops an organ failure, the intensity of the care should be decided taking into account patient's wishes and his plan of carekeeping, in mind that the objective of an intensive care unit (ICU) admission is to allow the patient to be discharged from ICU and hospital with an acceptable quality of life. But the physician in charge of the patient at the time of acute disease often does not have these information. It is therefore essential that the referring oncologist had an early discussion with the patient to inform him and collect his opinion. These information have to be noted in the patient's medical chart. The prognostic criteria of lung cancer patients admitted in ICU are related to the patient's characteristics, the cancer's characteristics and the severity of acute disease. In order that a decision of ICU admission is in accordance with the patient's therapeutic project, a close discussion between the oncologist and the intensivist is essential, especially in this period of SARS-CoV2 pandemy.© 2021 SPLF. Published by Elsevier Masson SAS. All rights reserved.

Identifiants

pubmed: 34659596
doi: 10.1016/S1877-1203(21)00116-6
pii: S1877-1203(21)00116-6
pmc: PMC8512108
doi:

Types de publication

English Abstract Journal Article

Langues

fre

Pagination

2S244-2S251

Informations de copyright

Copyright © 2021 SPLF. Publié par Elsevier Masson SAS. Tous droits réservés. Published by Elsevier Masson SAS All rights reserved.

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Auteurs

A-C Toffart (AC)

UM Oncologie Thoracique, Service Hospitalo-Universitaire de Pneumologie et Physiologie, Pôle Thorax et Vaisseaux, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
Université Grenoble 1 U 823-Institut pour l'Avancée des Biosciences-Université Grenoble Alpes, Grenoble, France.

F Gonzalez (F)

Unité de réanimation, Département Anesthésie-Réanimation, Institut Paoli Calmettes, Marseille, France.

T Pierret (T)

UM Oncologie Thoracique, Service Hospitalo-Universitaire de Pneumologie et Physiologie, Pôle Thorax et Vaisseaux, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.

E Gobbini (E)

UM Oncologie Thoracique, Service Hospitalo-Universitaire de Pneumologie et Physiologie, Pôle Thorax et Vaisseaux, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.

N Terzi (N)

UM Médecine Intensive Réanimation, Pôle Urgences Médecine Aiguë, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.

D Moro-Sibilot (D)

UM Oncologie Thoracique, Service Hospitalo-Universitaire de Pneumologie et Physiologie, Pôle Thorax et Vaisseaux, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
Université Grenoble 1 U 823-Institut pour l'Avancée des Biosciences-Université Grenoble Alpes, Grenoble, France.

M Darrason (M)

Service de Pneumologie aigue spécialisée et cancérologie thoracique, Centre Hospitalier Lyon Sud, Lyon, France.
Institut de Recherches Philosophiques de Lyon, Université Lyon 3, Lyon, France.

Classifications MeSH