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Updated: May 21, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
Palliative care consultation in the ICU #253
Margaret L Campbell1, David E Weissman, Judy E Nelson
1Palliative Care Center, Froedtert Hospital, Milwaukee, WI 53226, USA.
Integrating palliative care into intensive care units (ICUs) enhances patient and family experiences. This approach improves efficiency and reduces costs without impacting mortality rates.
Area of Science:
- Palliative Care
- Intensive Care Medicine
- Health Services Research
Background:
- Intensive care unit (ICU) patients often experience complex symptoms and high symptom burden.
- Integrating palliative care principles can address the multifaceted needs of critically ill patients and their families.
Purpose of the Study:
- To evaluate the impact of specialist palliative care integration in ICUs.
- To assess effects on patient/family experience, length of stay, ICU throughput, mortality, and healthcare costs.
Main Methods:
- Implementation of specialist palliative care consultations.
- Integration of palliative care principles across all ICU patient care.
Main Results:
- Improved patient and family experience reported.
- Reduced length of stay observed.
- Enhanced ICU throughput achieved without increased mortality.
- Lowered healthcare costs demonstrated.
Conclusions:
- Specialist palliative care integration in ICUs is beneficial.
- This model improves care quality and operational efficiency.
- Palliative care integration offers a cost-effective approach to critical care.
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