Zusammenfassung
Die intensivmedizinische Versorgung von Krebspatienten erfordert ein hohes Maß an gelebter Interdisziplinarität zwischen Intensivmedizinern und Onkologen. Intensivmediziner sollten ein solides Basiswissen über maligne Erkrankungen sowie die typischen Komplikationen von Grunderkrankung und Therapie haben. Hämatooonkologen sollten bei Auftreten von Organdysfunktionen möglichst frühzeitig eine Intensivstationsaufnahme evaluieren. Beide Seiten sollten eine realistische Einschätzung der kurzfristigen intensivmedizinischen sowie langfristigen onkologischen Optionen und Perspektiven des jeweiligen Patienten haben. Eine gute Zusammenarbeit ist die Basis für sinnhafte Aufnahmeentscheidungen, individuelle Therapiezielfestlegungen, gelungenes Patientenmanagement, sowie situationsadaptierte Begrenzungen des intensivtherapeutischen Spektrums mit fließenden Übergängen in ein palliativmedizinisches Setting.
Abstract
Providing critical care to cancer patients requires a high degree of practical multidisciplinary teamwork between intensivists and cancer specialists. Intensivists should have a solid basic knowledge of malignant diseases as well as of the typical complications of the underlying illness and its therapies. Hemato-oncologists should evaluate the transfer of these patients to the intensive care unit early in the course of emerging organ dysfunctions. Both parties should have a realistic impression of the short-term intensive care and long-term oncologic options and perspectives of the respective patient. Good cooperation between intensivists and cancer specialists is the basis for meaningful decisions on admission, planning of individual therapeutic aims, successful patient management, and tailored therapy, with a smooth transition into a palliative care setting whenever appropriate.
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Schellongowski, P. Der hämatologisch-onkologische Patient auf der Intensivstation. Med Klin Intensivmed Notfmed 108, 203–208 (2013). https://doi.org/10.1007/s00063-012-0177-z
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DOI: https://doi.org/10.1007/s00063-012-0177-z