Klinedinst Rachel, Kornfield Z Noah, Hadler Rachel A
Division of Palliative Care, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
J Cardiothorac Vasc Anesth. 2019 Mar;33(3):833-843. doi: 10.1053/j.jvca.2018.04.047. Epub 2018 Apr 26.
Over the past 2 decades, the discipline of palliative care has evolved and expanded such that it is now the standard of care for a variety of acute and chronic processes. Although there are recommendations encouraging incorporation of palliative care into the routine management of patients with chronic cardiac processes, such as congestive heart failure, implementation has been challenging, and nowhere more so than in the cardiac surgical population. However, as the boundaries of surgical care have expanded to include progressively more complex cases, increasing attention has been given to the integration of palliative care into their management. In this review article, the authors describe the existing evidence for palliative care team involvement in patients with non-operative and surgical cardiac diseases and examine future directions for growth in this field.
在过去的20年里，姑息治疗学科不断发展和壮大，如今已成为各种急慢性病症的护理标准。尽管有建议鼓励将姑息治疗纳入慢性心脏疾病（如充血性心力衰竭）患者的常规管理中，但实际实施一直面临挑战，在心脏外科患者中尤为如此。然而，随着外科护理范围不断扩大，涵盖的病例越来越复杂，人们越来越关注将姑息治疗纳入其管理之中。在这篇综述文章中，作者描述了姑息治疗团队参与非手术和手术心脏疾病患者护理的现有证据，并探讨了该领域未来的发展方向。
