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Special Aspects of ICU Care: Is There an Art to It?

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Supportive Care Strategies

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Abstract

Intensive care unit (ICU) admission is common following hematopoietic cell transplant, and patients who develop critical illness following transplant experience high mortality. Given the significant potential for morbidity and mortality among critically ill patients who have undergone hematopoietic cell transplant, high-quality supportive care for these patients and their family members is essential. In addition to the key components of supportive care—high-quality communication, symptom control, and emotional and spiritual support—special aspects of supportive care for critically ill patients undergoing transplant warrant consideration. First, high-quality communication between providers of different disciplines must be considered as essential as communication with the patient and family. Second, early involvement of specialty supportive care providers should occur, particularly when symptom management or psychosocial concerns are prominent or the risk of death is very high. Finally, for patients facing death in the ICU, providers should consider several end-of-life care issues unique to this population, including the support of patients and family members as they cope with a major shift in the focus of care, challenges related to maintaining social support networks, and the need to foster closure of the therapeutic relationship with outpatient providers. This chapter will focus on these specific aspects of ICU care for patients who have undergone hematopoietic cell transplant.

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Authors and Affiliations

  1. Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA, USA

    Ann C. Long

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  1. Ann C. Long
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Correspondence to Ann C. Long .

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Editors and Affiliations

  1. Hematology, Oncology, and Bone Marrow Transplant, Ochsner Health, New Orleans, LA, USA

    Laura Finn

  2. Palliative Medicine and Comprehensive Care, Inova Health System, Falls Church, VA, USA

    Alva R. Roche Green

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Long, A.C. (2020). Special Aspects of ICU Care: Is There an Art to It?. In: Finn, L., Roche Green, A.R. (eds) Supportive Care Strategies. Advances and Controversies in Hematopoietic Transplantation and Cell Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-59014-1_7

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  • DOI: https://doi.org/10.1007/978-3-319-59014-1_7

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