Recommendations on palliative care aspects in intensive care medicine.
Early integration
Intensive care
Palliative care
Palliative medicine
Quality of life
Timely integration
Journal
Critical care (London, England)
ISSN: 1466-609X
Titre abrégé: Crit Care
Pays: England
ID NLM: 9801902
Informations de publication
Date de publication:
18 09 2023
18 09 2023
Historique:
received:
20
07
2023
accepted:
20
08
2023
medline:
20
9
2023
pubmed:
19
9
2023
entrez:
18
9
2023
Statut:
epublish
Résumé
The timely integration of palliative care is important for patients suffering from various advanced diseases with limited prognosis. While a German S-3-guideline on palliative care exists for patients with incurable cancer, a recommendation for non-oncological patients and especially for integration of palliative care into intensive care medicine is missing to date. Ten German medical societies worked on recommendations on palliative care aspects in intensive care in a consensus process from 2018 to 2023. Based on the german consensus paper, the palliative care aspects of the respective medical disciplines concerning intensive care are addressed. The recommendations partly refer to general situations, but also to specific aspects or diseases, such as geriatric issues, heart or lung diseases, encephalopathies and delirium, terminal renal diseases, oncological diseases and palliative emergencies in intensive care medicine. Measures such as non-invasive ventilation for symptom control and compassionate weaning are also included. The timely integration of palliative care into intensive care medicine aims to improve quality of life and symptom control and also takes into acccount the often urgently needed support for patients' highly stressed relatives.
Sections du résumé
BACKGROUND
The timely integration of palliative care is important for patients suffering from various advanced diseases with limited prognosis. While a German S-3-guideline on palliative care exists for patients with incurable cancer, a recommendation for non-oncological patients and especially for integration of palliative care into intensive care medicine is missing to date.
METHOD
Ten German medical societies worked on recommendations on palliative care aspects in intensive care in a consensus process from 2018 to 2023.
RESULTS
Based on the german consensus paper, the palliative care aspects of the respective medical disciplines concerning intensive care are addressed. The recommendations partly refer to general situations, but also to specific aspects or diseases, such as geriatric issues, heart or lung diseases, encephalopathies and delirium, terminal renal diseases, oncological diseases and palliative emergencies in intensive care medicine. Measures such as non-invasive ventilation for symptom control and compassionate weaning are also included.
CONCLUSION
The timely integration of palliative care into intensive care medicine aims to improve quality of life and symptom control and also takes into acccount the often urgently needed support for patients' highly stressed relatives.
Identifiants
pubmed: 37723595
doi: 10.1186/s13054-023-04622-3
pii: 10.1186/s13054-023-04622-3
pmc: PMC10506254
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
355Investigateurs
Stefan John
(S)
Uwe Janssens
(U)
Philip Raake
(P)
Katharina Andrea Schütt
(KA)
Johann Bauersachs
(J)
Thomas Barchfeld
(T)
Bernd Schucher
(B)
Sandra Delis
(S)
Rüdiger Karpf-Wissel
(R)
Matthias Kochanek
(M)
Simone von Bonin
(S)
Christiane M Erley
(CM)
Susanne D Kuhlmann
(SD)
Wolfgang Müllges
(W)
Georg Gahn
(G)
Hans Jürgen Heppner
(HJ)
Christoph H R Wiese
(CHR)
Stefan Kluge
(S)
Hans-Jörg Busch
(HJ)
Claudia Bausewein
(C)
Martin Pin
(M)
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
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