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Mechanical ventilation in critically ill cancer patients
1Department of Critical Care Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA. ashaw@mdanderson.org
Current Opinion in Oncology
|June 29, 2001
Summary
Outcomes for cancer patients on mechanical ventilation are improving due to advanced techniques and earlier intensive care. This review highlights recent progress and its application in oncology critical care.
Area of Science:
- Critical Care Medicine
- Oncology
- Pulmonary Medicine
Background:
- Outcomes for cancer patients requiring mechanical ventilation have historically been poor.
- Recent advancements in critical care and ventilation technology are changing this outlook.
- Earlier referral of critically ill cancer patients to intensive care units (ICUs) is becoming more common.
Purpose of the Study:
- To review the current use and outcomes of mechanical ventilation in critically ill cancer patients.
- To discuss recent literature on outcomes for this patient population.
- To explore how general advances in mechanical ventilation can be applied to oncology patients.
Main Methods:
- Literature review of published outcome data for cancer patients on mechanical ventilation.
- Discussion of recent advancements in mechanical ventilation techniques and equipment.
- Analysis of the applicability of these advancements to the oncology critical care setting.
Main Results:
- The outlook for cancer patients undergoing mechanical ventilation is improving.
- Advances in ventilation strategies and equipment enhance critical care interventions.
- Earlier ICU admission contributes to better management of critical illness in cancer patients.
Conclusions:
- Mechanical ventilation in critically ill cancer patients is increasingly feasible with improved outcomes.
- Oncologic intensivists can leverage recent technological and methodological advances in ventilation.
- Continued research and application of new techniques are vital for further improving survival and quality of life.