Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), University of Palermo, 90100 Palermo, Italy.
Neurosurgery Unit, Department of Biomedicine, Neurosciences & Advanced Diagnostics (BiND), School of Medicine, University of Palermo, 90127 Palermo, Italy.
Medicina (Kaunas). 2023 Feb 1;59(2):288. doi: 10.3390/medicina59020288.
: Palliative care is an interdisciplinary medical specialty focused on improving the quality of life of critically ill patients, including those with frailty, during their illness. : We conducted an extensive literature review on Pubmed focusing on palliative care in neuro-oncology patients admitted to intensive care units (ICUs). : We identified 967 articles and, after excluding 952 articles in accordance with the PRISMA flow chart, we included a total of 15 articles in the final selection. The potential role of palliative care in neuro-oncology appears necessary to ensure comprehensive end-of-life patient care. However, this seems underestimated and poorly applied, especially in the context of intensive care units. Medical personnel also face ethical dilemmas, considering not only the pathology but also the socio-spiritual context of the patient. In addition, caregivers' understanding of prognosis and realistic goals is critical for optimal end-of-life management. : The provision of palliative care to neuro-oncological patients admitted to ICU is a complex challenge supported by fragmented evidence. Additional research on palliative care and communication about end-of-life care in the neuro-oncology and neuro-ICU setting is needed.
缓和医疗是一门专注于改善重病患者（包括虚弱患者）生活质量的跨学科医学专业。我们在 Pubmed 上进行了广泛的文献综述，重点关注入住重症监护病房（ICU）的神经肿瘤患者的缓和医疗。我们共检索到 967 篇文献，根据 PRISMA 流程图排除 952 篇文献后，最终共纳入 15 篇文献进行分析。缓和医疗在神经肿瘤学中的潜在作用对于确保患者临终关怀的全面性是必要的。然而，这似乎被低估了，应用也不理想，特别是在 ICU 环境中。医务人员不仅要考虑患者的病理情况，还要考虑其社会精神背景，这使他们面临着伦理困境。此外，护理人员对预后和现实目标的理解对于优化临终管理至关重要。向入住 ICU 的神经肿瘤患者提供缓和医疗是一个复杂的挑战，目前的证据较为零碎。需要进一步研究神经肿瘤学和神经 ICU 环境中的缓和医疗和临终关怀沟通。
