Palliative Care in Cardiac Intensive Care Units
Palliative Care in Cardiac Intensive Care Units

Author: Massimo Romanò

Publisher: Springer Nature

Published: 2021-09-29

Total Pages: 195

ISBN-13: 3030801128

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This book analyzes the main topics of Palliative Care in Cardiac Intensive Care Units (CICU), from the changing epidemiology of patients admitted to the ICU, to the main clinical and ethical issues. The changing epidemiology of patients has led to new and emerging patient needs at the end of life. Care has shifted from acute coronary syndrome patients towards elderly patients, with a high prevalence of non-ischemic cardiovascular diseases and a high burden of non-cardiovascular comorbid conditions: both increase the susceptibility of patients to developing life-threatening critical conditions. These conditions are associated with a significant symptom burden, high mortality rate, and increased length of stay. The main new challenges involve shared decision-making, symptom control (pain, dyspnea, etc.), and ethical issues (withholding/withdrawing life sustaining treatments, deactivation of implanted cardiac devices, palliative sedation), all of which necessitate formal education on end-of-life care. Written by opinion leaders in their respective fields, who share their experience with improving the cultural and clinical competence of medical/nursing teams, this volume is chiefly intended for cardiologists, anesthesiologists, palliative care doctors and nursing staff.

Cardiac Intensive Care - E-Book
Cardiac Intensive Care - E-Book

Author: David L. Brown

Publisher: Elsevier Health Sciences

Published: 2018-07-19

Total Pages: 736

ISBN-13: 0323553494

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Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists.

Mount Sinai Expert Guides
Mount Sinai Expert Guides

Author: Stephan A. Mayer

Publisher: John Wiley & Sons

Published: 2020-12-01

Total Pages: 658

ISBN-13: 1119293308

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Part of the Mount Sinai Expert Guide series, this outstanding book provides rapid-access, clinical information on all aspects of Critical Care with a focus on clinical diagnosis and effective patient management. With strong focus on the very best in multidisciplinary patient care, it is the ideal point of care consultation tool for the busy physician.

Palliative Care in Critical Care, An Issue of Critical Care Nursing Clinics of North America
Palliative Care in Critical Care, An Issue of Critical Care Nursing Clinics of North America

Author: Tonja Hartjes

Publisher: Elsevier Health Sciences

Published: 2016-07-22

Total Pages: 137

ISBN-13: 0323395600

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Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family’s physical, psychosocial and spiritual concerns, and aligning treatments with each patient’s goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.

Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery
Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery

Author: Davy C.H. Cheng

Publisher: Springer Nature

Published: 2020-11-06

Total Pages: 769

ISBN-13: 3030478874

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This comprehensive yet concise book addresses current best practice in the combined areas of cardiac surgery and anesthesia, interventional minimally invasive cardiac procedures, perioperative management and monitoring, and critical care recovery. This book not only provides the latest best practices in the perioperative management of cardiac surgical patients, but also it summarizes the current clinical guidelines and algorithms from leading cardiac programs and professional societies. Contemporary best practice approaches are written by experts from leading cardiac surgical centers. The preoperative, intraoperative and postoperative management and recovery of surgical patients, including medication, monitoring techniques, and innovative surgical procedures, are presented by experts in the field of cardiac anesthesia and surgery. Perioperative clinical care guidelines, postoperative recovery pathways and models of care are presented with supporting protocols. Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery is aimed at all cardiac anesthesiology consultants, fellows, and trainees; all cardiac surgery consultants, fellows, and trainees; nurses in perioperative care and those involved in patient recovery management; cardiac program administrative professionals; and all critical care consultants and trainees looking after cardiovascular surgical patients in the modern era.

Pediatric Palliative Care
Pediatric Palliative Care

Author: Betty Ferrell

Publisher:

Published: 2016

Total Pages: 161

ISBN-13: 0190244186

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Pediatric palliative care is a field of significant growth as health care systems recognize the benefits of palliative care in areas such as neonatal intensive care, pediatric ICU, and chronic pediatric illnesses. Pediatric Palliative Care, the fourth volume in the HPNA Palliative Nursing Manuals series, highlights key issues related to the field. Chapters address pediatric hospice, symptom management, pediatric pain, the neonatal intensive care unit, transitioning goals of care between the emergency department and intensive care unit, and grief and bereavement in pediatric palliative care. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice. Plentiful tables and patient teaching points make these volumes useful resources for nurses.

Choices in Palliative Care
Choices in Palliative Care

Author: Arthur Blank

Publisher: Springer Science & Business Media

Published: 2007-07-21

Total Pages: 249

ISBN-13: 0387708758

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Choices in Palliative Care brings together leading experts to spotlight core issues in the field and identify ways PC can fill gaps in current care systems. This far-sighted volume redefines palliative care as interdisciplinary and integrative, bridging acute and long-term care to respond to clients’ evolving needs. Those teaching health service delivery courses will find this material especially useful.

Diagnosis and Treatment in Internal Medicine
Diagnosis and Treatment in Internal Medicine

Author: Patrick Davey

Publisher: Oxford University Press

Published: 2018-08-30

Total Pages: 1297

ISBN-13: 019956874X

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Diagnosis and Treatment in Internal Medicine equips trainee doctors with the essential skills and core knowledge to establish a diagnosis reliably and quickly, before outlining the management of the clinical condition diagnosed. Organised into three sections, the first provides a vital overview, whilst the second focuses on common presentations and diagnoses. Uniquely, this new book shows readers how to turn symptoms into a list of diagnoses ordered by probability - a differential diagnosis. Experienced consultants who teach trainees every day demonstrate how to derive an ordered differential diagnosis, how to narrow this down to a single diagnosis and if not, how to live with diagnostic uncertainty. The final section provides a comprehensive account of the management of system-based syndromes and diseases. Highly-structured chapters emphasize how common conditions present, how to approach a diagnosis, and how to estimate prognosis, treatment and its effectiveness. An onus is placed on the development of crucial diagnostic skills and the ability to devise evidence-based management plans quickly and accurately, making this an ideal text for core medical trainees.

New Prediction Model For Cardiac Arrest Time Of Palliative Care Patients In The Intensive Care Unit
New Prediction Model For Cardiac Arrest Time Of Palliative Care Patients In The Intensive Care Unit

Author: Shuta Morishige

Publisher:

Published: 2017

Total Pages:

ISBN-13:

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Background: In the palliative care setting, family members of terminally ill patients wish to be present for the last moments of the patientu2019s life. However, it is difficult to provide family members with an estimated time of patientu2019s death with accuracy. We hypothesized that dysfunction of the autonomic nervous system resulting in an imbalance between systolic blood pressure (SBP) and heart rate(HR) might precede cardiac arrest with a certain time interval. The aim of this study was to develop the algorithm to predict cardiac arrest in terminally ill patients.Methods: We retrospectively collected data of patients who were admitted to the intensive care unit (ICU) of Yokohama City University Hospital between 2010 and 2016. Exponential decay model was used to develop the formula to calculate the predicted HR from SBP. The disparity between predicted HR and real HR was evaluated as the predictor of cardiac arrest in the following 2 hours. Patient data were randomly divided into two groups. One was used to determine the threshold of the HR disparity with the receiver operating characteristic curve, and the other was used to validate the formula by determining the diagnostic power of the threshold.Results:u3000Of 4330 patients who were admitted to the ICU, 32 died in the ICU and 19 patients were included in this study. Exponential decay model determined the following formula: Predicted HR =SBP x(0.995 +5.936 e -0.035 x SBP). Area under the ROC of the disparity between real HR and predicted HR was 0.650 (95% confidence interval 0.512 to 0.788), p

End-of-Life Care in Cardiovascular Disease
End-of-Life Care in Cardiovascular Disease

Author: Sarah J. Goodlin

Publisher: Springer

Published: 2016-09-22

Total Pages: 0

ISBN-13: 9781447170365

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End-of-life issues in cardiology are becoming increasingly important in the management of patients in the cardiac unit, but there is frequently a lack of understanding regarding their impact on cardiology practice. The cardiac unit is increasingly becoming the location whereby a number of key clinical decisions relating to end-of-life care are being made, such as the decision to remove medications, the appropriate removal of cardiac devices, the management of do not resuscitate orders and the requirement for other cardiac procedures in light of the management of the terminally ill cardiac patients. Those working in palliative care need input from the cardiovascular team as the cardiologist is frequently still managing these patients until they are moved to the hospice. That this move into a hospice is often delayed until the very last moment, there is considerable onus on the cardiovascular management of these patients to be much broader in scope and take account of some of the more palliative medical decisions needed in this group of patients. This concise reference will detail the practical issues open to cardiovascular physicians and those medical professionals who manage patients reaching the end of their life from a cardiology perspective. It will detail the full management options open to them to ensure that their practice is in line with the requirements of the patient nearing the end of their life whether the cause be cardiovascular in origin or who need appropriate management of secondary cardiovascular symptoms. It will also include the various ethical, cultural and geographical issues that need to be considered when managing these patients.