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001440110 001__ 1440110
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001440110 019__ $$a1272956671$$a1273075568$$a1273122511
001440110 020__ $$a9783030801120$$q(electronic bk.)
001440110 020__ $$a3030801128$$q(electronic bk.)
001440110 020__ $$z303080111X
001440110 020__ $$z9783030801113
001440110 0247_ $$a10.1007/978-3-030-80112-0$$2doi
001440110 035__ $$aSP(OCoLC)1272993339
001440110 040__ $$aEBLCP$$beng$$epn$$cEBLCP$$dYDX$$dGW5XE$$dOCLCF$$dN$T$$dUKAHL$$dOCLCO$$dOCLCQ$$dOCLCO$$dOCLCQ
001440110 049__ $$aISEA
001440110 050_4 $$aRC671
001440110 08204 $$a616.1/06$$223
001440110 24500 $$aPalliative care in cardiac intensive care units/$$cMassimo Romanò, editor.
001440110 260__ $$aCham :$$bSpringer,$$c2021.
001440110 300__ $$a1 online resource (202 pages)
001440110 336__ $$atext$$btxt$$2rdacontent
001440110 337__ $$acomputer$$bc$$2rdamedia
001440110 338__ $$aonline resource$$bcr$$2rdacarrier
001440110 500__ $$a8: Withdrawal of Mechanical Circulatory Support in the Cardiac Intensive Care Unit.
001440110 5050_ $$aIntro -- Foreword -- Preface -- Acknowledgements -- Contents -- About the Author -- 1: Epidemiology and Patterns of Care in Modern Cardiac Intensive Care Units -- 1.1 Introduction -- 1.2 Is There a Background for the Evolution of CICU? From the Blitz-3 to Modern International CICU Registries -- 1.3 Aging, Comorbidity, and the Risk of Futility in CICU -- 1.4 The COVID-19 Tsunami and Its Effect on CICU -- 1.5 Conclusions -- References -- 2: The Intensive and Advanced Treatments in the Cardiac Intensive Care Units -- 2.1 Introduction -- 2.2 Cardiac Arrest and Post-cardiac Arrest Syndrome
001440110 5058_ $$a2.3 Advanced Heart Failure and End-Stage Heart Failure -- 2.4 Cardiogenic Shock (CS) and Low-Output Syndrome -- 2.5 Mechanical Circulatory Supports (MCSs) -- 2.6 Heart Replacement Therapies -- 2.7 Cardiac Implanted Electronic Devices (CIEDs) -- 2.8 Palliative Care in CICU -- 2.9 Palliative Inotrope Care -- References -- 3: Symptom Assessment and Management -- 3.1 The Cardiologist's Palliative Competencies -- 3.2 Measuring a Symptom -- 3.2.1 Dyspnea -- 3.2.2 Pain -- 3.2.3 Thirst -- 3.3 Cognitive and Mood Disorders -- 3.3.1 Fatigue -- 3.3.2 Gastrointestinal Symptoms -- References
001440110 5058_ $$a4: The Meanings of Prognosis: When and How to Discuss It? -- 4.1 Introduction -- 4.2 Deciding Between Prognosis and Uncertainty -- 4.3 Criteria for Prognosis Definition -- 4.4 Communicating Prognosis -- 4.5 Barriers to Communication -- 4.5.1 The Disease -- 4.5.2 The Patient -- 4.5.3 Treatment Approach -- 4.5.4 The Doctor -- 4.6 Conclusions -- References -- 5: Informed Consent, Advance Directives, and Shared Care Planning -- 5.1 Introduction -- 5.2 Legal and Ethical Aspects -- 5.3 Shared Care Planning and Advance Directives in Cardiology -- 5.4 Conclusions -- References
001440110 5058_ $$a6: Withholding or Withdrawing Life-Sustaining Treatments -- 6.1 Introduction -- 6.2 Forgoing Life-Sustaining Treatments: The Clinical Practice -- 6.3 Physician Preferences -- 6.4 Withdrawing Life-Sustaining Treatment: Arguments in Favor -- 6.5 Withholding Life-Sustaining Treatment: Arguments in Favor -- 6.6 Withdrawing or Withholding Life-Sustaining Treatments: Means or Goals? -- 6.7 Forgoing Life-Sustaining Treatments: How to Do -- 6.7.1 Ethical Principles -- 6.7.2 Decision to Forgo Life-Sustaining Treatments: Theoretical Approach
001440110 5058_ $$a6.7.3 Decision to Forgo Life-Sustaining Treatments: The Goals -- 6.7.4 Withdrawing Life-Sustaining Treatments: Basics in Clinical Practice -- 6.8 Conclusions -- References -- 7: Deactivation of Cardiac Implantable Electronic Devices (CIEDs) at the End of Life -- 7.1 Introduction -- 7.2 Implantable Cardioverter-Defibrillators (ICDs) -- 7.2.1 Ethical Problems -- 7.2.2 Information and Patient Awareness -- 7.2.3 The Opinion of Physicians and Nurses -- 7.3 Cardiac Pacemaker (PM)-Cardiac Resynchronisation Therapy-Pacemaker (CRT-P) -- 7.4 Conclusions -- References
001440110 506__ $$aAccess limited to authorized users.
001440110 520__ $$aThis book analyzes the main topics of Palliative Care in Cardiac Intensive Care Units (CICU), from the changing epidemiology of patients admitted to the ICU, to the main clinical and ethical issues. The changing epidemiology of patients has led to new and emerging patient needs at the end of life. Care has shifted from acute coronary syndrome patients towards elderly patients, with a high prevalence of non-ischemic cardiovascular diseases and a high burden of non-cardiovascular comorbid conditions: both increase the susceptibility of patients to developing life-threatening critical conditions. These conditions are associated with a significant symptom burden, high mortality rate, and increased length of stay. The main new challenges involve shared decision-making, symptom control (pain, dyspnea, etc.), and ethical issues (withholding/withdrawing life sustaining treatments, deactivation of implanted cardiac devices, palliative sedation), all of which necessitate formal education on end-of-life care. Written by opinion leaders in their respective fields, who share their experience with improving the cultural and clinical competence of medical/nursing teams, this volume is chiefly intended for cardiologists, anesthesiologists, palliative care doctors and nursing staff.
001440110 588__ $$aOnline resource; title from PDF title page (SpringerLink, viewed October 14, 2021).
001440110 650_0 $$aCardiovascular system$$xDiseases$$xPalliative treatment.
001440110 650_0 $$aCardiac intensive care.
001440110 650_6 $$aAppareil cardiovasculaire$$xMaladies$$xTraitement palliatif.
001440110 650_6 $$aSoins intensifs en cardiologie.
001440110 655_0 $$aElectronic books.
001440110 7001_ $$aRomanò, M.$$q(Massimo),$$eeditor.
001440110 77608 $$iPrint version:$$aRomanò, Massimo$$tPalliative Care in Cardiac Intensive Care Units$$dCham : Springer International Publishing AG,c2021$$z9783030801113
001440110 852__ $$bebk
001440110 85640 $$3Springer Nature$$uhttps://univsouthin.idm.oclc.org/login?url=https://link.springer.com/10.1007/978-3-030-80112-0$$zOnline Access$$91397441.1
001440110 909CO $$ooai:library.usi.edu:1440110$$pGLOBAL_SET
001440110 980__ $$aBIB
001440110 980__ $$aEBOOK
001440110 982__ $$aEbook
001440110 983__ $$aOnline
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