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Updated: Apr 23, 2026
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
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Integrating palliative care in the ICU.
1aDepartment of Anesthesiology, Columbia University, New York, New York, USA bDepartment of Critical Care Medicine, Sunnybrook Hospital cDepartment of Anesthesia, University of Toronto, Toronto, Ontario, Canada.
Current Opinion in Critical Care
|September 19, 2014
Summary
Integrating palliative care into intensive care units (ICUs) requires a mixed model. Combining integrated care by ICU clinicians with targeted palliative care consultations improves patient outcomes.
Area of Science:
- Critical Care Medicine
- Palliative Care
- Health Services Research
Background:
- Palliative care integration in ICUs is a growing priority.
- Existing models for palliative care delivery in ICUs show varied success.
- Substantial need exists for palliative care among ICU patients.
Purpose of the Study:
- To review evidence on different palliative care delivery models in the ICU.
- To identify successful integration strategies and future research areas.
Main Methods:
- Systematic review of current evidence on palliative care models in ICUs.
- Analysis of the impact of consultative vs. integrated palliative care.
Main Results:
- Many ICU patients require palliative care, with frequent end-of-life intensive treatments.
- The consultative model shows a greater impact on patient care.
- A sustainable model necessitates both integrated care by ICU staff and targeted consultations.
Conclusions:
- A mixed model approach is essential for meeting palliative care needs in critically ill patients.
- Improving integrated palliative care models and optimizing consultant use are crucial.
- Future efforts should focus on refining these mixed-model strategies.
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