title: [Chronic critically ill patients from the perspective of hematologists/oncologists].
abstract: Many factors contribute to making critically ill patients with underlying hematological or oncological diseases into a special collective on intensive care units, such as an often incurable or at least doubtfully curable underlying disease, therapy associated complications and a commonly present immunosuppression. The prognosis of these patients has clearly improved in recent years so that a general reluctance in deciding to treat these patients in intensive care units can no longer be justified. Comprehensive infection diagnostics and a guideline oriented causal and supportive treatment can improve the prognosis of sepsis even in hematology/oncology patients. In the therapy of respiratory failure non-invasive ventilation is of great importance for a reduction in mortality if used early and contraindications, such as termination criteria are considered. Considerations on long-term prognosis, quality of life and palliative care are increasingly becoming topics in intensive care medicine.
authors: Universitätsklinik für Innere Medizin I, Intensivstation 13.i2, Medizinische Universität Wien, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. thomas.staudinger@meduniwien.ac.at
authors: T
authors: T
authors: Staudinger
authors: P
authors: P
authors: Schellongowski
mesh_terms: D003299:Cooperative Behavior; D003422:Critical Care / Q000379:methods*; D005858:Germany; D006402:Hematologic Diseases / Q000150:complications / Q000401:mortality / Q000628:therapy*; D019337:Hematologic Neoplasms / Q000150:complications / Q000401:mortality / Q000628:therapy*; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D033183:Interdisciplinary Communication; D009369:Neoplasms / Q000150:complications / Q000401:mortality / Q000628:therapy*; D009894:Opportunistic Infections / Q000209:etiology / Q000401:mortality / Q000628:therapy; D010102:Oxygen Inhalation Therapy; D010166:Palliative Care; D010343:Patient Admission; D010348:Patient Care Team; D011379:Prognosis; D011788:Quality of Life; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000401:mortality / Q000628:therapy; D012131:Respiratory Insufficiency / Q000209:etiology / Q000401:mortality / Q000628:therapy; D018805:Sepsis / Q000209:etiology / Q000401:mortality / Q000628:therapy; D016019:Survival Analysis