Urgent chemotherapy in hematological patients in the ICU.

Abstract:

PURPOSE OF REVIEW:Over the past decades, survival of critically ill hematological patients has dramatically improved, and these patients are more frequently referred to the ICU for intensive treatment, including a rising need for administering anticancer-therapy in this setting. RECENT FINDINGS:The scarce literature on this subject provides evidence for feasibility of administering chemotherapy in the ICU, with expected ICU survival of 60-70%, and one in three patients surviving at least 1 year after discharge. We summarize the recent evidence concerning outcome, dosing and indications of chemotherapy in the ICU, and provide practical guidelines for some special oncological situations. SUMMARY:Anticancer-therapy in the ICU is feasible and no longer futile as long as it is initiated in a selected, well-informed patient population with reasonable prognostic expectations. Accurate recognition of organ failure and early referral to the ICU for both supportive care and timely administration of chemotherapy is recommended before the development of multisystem organ failure.

journal_name

Curr Opin Crit Care

authors

Moors I,Pène F,Lengline É,Benoit D

doi

10.1097/MCC.0000000000000254

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

559-68

issue

6

eissn

1070-5295

issn

1531-7072

pii

00075198-201512000-00015

journal_volume

21

pub_type

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