Author:
Michels Guido,Schallenburger Manuela,Neukirchen Martin,John Stefan,Janssens Uwe,Raake Philip,Schütt Katharina Andrea,Bauersachs Johann,Barchfeld Thomas,Schucher Bernd,Delis Sandra,Karpf-Wissel Rüdiger,Kochanek Matthias,von Bonin Simone,Erley Christiane M.,Kuhlmann Susanne D.,Müllges Wolfgang,Gahn Georg,Heppner Hans Jürgen,Wiese Christoph H. R.,Kluge Stefan,Busch Hans-Jörg,Bausewein Claudia,Pin Martin,
Abstract
Abstract
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.
Funder
Universitätsklinikum Düsseldorf. Anstalt öffentlichen Rechts
Publisher
Springer Science and Business Media LLC
Subject
Critical Care and Intensive Care Medicine
Reference48 articles.
1. Simon ST, Pralong A, Radbruch L, Bausewein C, Voltz R. The palliative care of patients with incurable cancer. Deutsches Arzteblatt international. 2020;116(7):108–15.
2. Leitlinienprogramm Onkologie (2019) Erweiterte S3-Leitlinie Palliativmedizin für Patienten mit einer nicht-heilbaren Krebserkrankung: Langversion 2.0 – August 2019, AWMF-Registernummer: 128/001-OL: Leitlinie (Langversion). Leitlinienprogramm Onkologie. Kohlhammer, Stuttgart.
3. Lyngaa T, Christiansen CF, Nielsen H, Neergaard MA, Jensen AB, Laut KG, Johnsen SP. Intensive care at the end of life in patients dying due to non-cancer chronic diseases versus cancer: a nationwide study in Denmark. Crit Care. 2015;19(1):1–9.
4. Rubenfeld GD. Beyond ethical dilemmas: improving the quality of end-of-life care in the intensive care unit. Crit Care. 2002;7(1):1–3.
5. Afshar K, Geiger K, Müller-Mundt G, Bleidorn J, Schneider N. Generalist palliative care for non-cancer patients. Der Schmerz. 2021;35(3):161–71.
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