Intensive Care Practice in the Cancer Patient Population: Special Considerations and Challenges

Abstract

Purpose of Review

As the modern era of cancer treatment improves survival for patients, intensive care units (ICUs) play an increasing role in their management to support patients during cancer therapy. This review seeks to summarise some important changes and persisting challenges in the care of this complex patient group.

Recent Findings

Technological advances and improvements in overall cancer treatment have challenged historical approaches to suitability for admission and provision of ICU support. In particular, old paradigms (such as not admitting hematological malignancy patients to the ICU for mechanical ventilation) no longer apply in the modern era. Improved peri-operative care and advances in surgical techniques rely on the availability of the ICU for post-operative support, particularly after increasingly complex surgical procedures are embarked on with curative intent.

Summary

Intensive care is an integral part of the multidisciplinary care required for cancer patients. Challenges, including ethical aspects and difficulties with risk stratification, remain.

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