Toffart A-C, Gonzalez F, Pierret T, Gobbini E, Terzi N, Moro-Sibilot D, Darrason M
UM Oncologie Thoracique, Service Hospitalo-Universitaire de Pneumologie et Physiologie, Pôle Thorax et Vaisseaux, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
Université Grenoble 1 U 823-Institut pour l'Avancée des Biosciences-Université Grenoble Alpes, Grenoble, France.
Rev Malad Respir Actual. 2021 Sep;13(2):2S244-2S251. doi: 10.1016/S1877-1203(21)00116-6. Epub 2021 Oct 11.
When a lung cancer patient develops an organ failure, the intensity of the care should be decided taking into account patient's wishes and his plan of carekeeping, in mind that the objective of an intensive care unit (ICU) admission is to allow the patient to be discharged from ICU and hospital with an acceptable quality of life. But the physician in charge of the patient at the time of acute disease often does not have these information. It is therefore essential that the referring oncologist had an early discussion with the patient to inform him and collect his opinion. These information have to be noted in the patient's medical chart. The prognostic criteria of lung cancer patients admitted in ICU are related to the patient's characteristics, the cancer's characteristics and the severity of acute disease. In order that a decision of ICU admission is in accordance with the patient's therapeutic project, a close discussion between the oncologist and the intensivist is essential, especially in this period of SARS-CoV2 pandemy.© 2021 SPLF. Published by Elsevier Masson SAS. All rights reserved.
当肺癌患者出现器官功能衰竭时，应根据患者的意愿及其护理计划来决定护理强度，要记住入住重症监护病房（ICU）的目的是让患者以可接受的生活质量从ICU和医院出院。但在急性病发作时负责该患者的医生往往没有这些信息。因此，转诊的肿瘤学家必须尽早与患者进行讨论，告知患者并收集其意见。这些信息必须记录在患者的病历中。入住ICU的肺癌患者的预后标准与患者特征、癌症特征以及急性病的严重程度有关。为了使入住ICU的决定符合患者的治疗方案，肿瘤学家和重症监护医生之间进行密切讨论至关重要，尤其是在当前新冠疫情期间。© 2021 SPLF。由爱思唯尔马松出版社出版。保留所有权利。
