Do hospitals need oncological critical care units?

Abby Koch, William Checkley

Research output: Contribution to journalEditorial

Abstract

Since the inception of critical care as a formal discipline in the late 1950s, we have seen rapid specialization to many types of intensive care units (ICUs) to accommodate evolving life support technologies and novel therapies in various disciplines of medicine. Indeed, the field has expanded such that specialized ICUs currently exist to address critical care problems in medicine, cardiology, neurology and neurosurgery, trauma, burns, organ transplant and cardiothoracic surgeries. Specialization does not only need new infrastructure, but also training and staffing of health care providers, ancillary staff, and development and implementation of processes of care. Oncology is another branch of medicine with growing ICU needs. Given the rise in cancer incidence worldwide and better survival rates alongside advances in chemotherapeutic and surgical options, more cancer patients are nowadays requiring advanced life support for cancer-related complications, treatmentrelated toxicities and severe infections. Here we provide a brief summary of the current evidence supporting the specialization of critical care and explore three different models of care for critically ill cancer patients, including the development of a specialized oncological ICU. Finally, we also discuss recently published and future research related to the care of critically ill cancer patients.

Original languageEnglish (US)
Pages (from-to)E304-E309
JournalJournal of Thoracic Disease
Volume9
Issue number3
DOIs
StatePublished - Mar 1 2017

Fingerprint

Critical Care
Intensive Care Units
Medicine
Neoplasms
Critical Illness
Staff Development
Neurosurgery
Neurology
Cardiology
Burns
Health Personnel
Survival Rate
Technology
Transplants
Incidence
Wounds and Injuries
Infection
Therapeutics

Keywords

  • Cancer
  • Oncology
  • Process improvement
  • Protocols
  • Specialty intensive care units

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Do hospitals need oncological critical care units? / Koch, Abby; Checkley, William.

In: Journal of Thoracic Disease, Vol. 9, No. 3, 01.03.2017, p. E304-E309.

Research output: Contribution to journalEditorial

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