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Recommendations on palliative care aspects in intensive care medicine

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...

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Autores principales: Michels, Guido, Schallenburger, Manuela, Neukirchen, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506254/
https://www.ncbi.nlm.nih.gov/pubmed/37723595
http://dx.doi.org/10.1186/s13054-023-04622-3
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author Michels, Guido
Schallenburger, Manuela
Neukirchen, Martin
author_facet Michels, Guido
Schallenburger, Manuela
Neukirchen, Martin
author_sort Michels, Guido
collection PubMed
description 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.
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spelling pubmed-105062542023-09-19 Recommendations on palliative care aspects in intensive care medicine Michels, Guido Schallenburger, Manuela Neukirchen, Martin Crit Care Perspective 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. BioMed Central 2023-09-18 /pmc/articles/PMC10506254/ /pubmed/37723595 http://dx.doi.org/10.1186/s13054-023-04622-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Perspective
Michels, Guido
Schallenburger, Manuela
Neukirchen, Martin
Recommendations on palliative care aspects in intensive care medicine
title Recommendations on palliative care aspects in intensive care medicine
title_full Recommendations on palliative care aspects in intensive care medicine
title_fullStr Recommendations on palliative care aspects in intensive care medicine
title_full_unstemmed Recommendations on palliative care aspects in intensive care medicine
title_short Recommendations on palliative care aspects in intensive care medicine
title_sort recommendations on palliative care aspects in intensive care medicine
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506254/
https://www.ncbi.nlm.nih.gov/pubmed/37723595
http://dx.doi.org/10.1186/s13054-023-04622-3
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