When is an invasive palliative intervention in an acute internal medical patient worth it? A structured palliative approach

Publication

When is an invasive palliative intervention in an acute internal medical patient worth it? A structured palliative approach

Journal Paper/Review - Nov 30, 2015

Weber Thomas, Strasser Florian

Citation

Weber T, Strasser F. When is an invasive palliative intervention in an acute internal medical patient worth it? A structured palliative approach. Wien Med Wochenschr 2015; 165:467-471.

Type

Journal Paper/Review (English)

Journal

Wien Med Wochenschr 2015; 165

Publication Date

Nov 30, 2015

Issn Electronic

1563-258X

Pages

467-471

Brief description/objective

UNASSIGNED
A 67-year-old patient with coronary artery disease (CAD), diabetes, and chronic obstructive pulmonary disease (COPD) was scheduled for coronary artery bypass graft (CABG) surgery after a recent myocardial infarction despite a high perioperative risk of death. While waiting, acute renal failure developed, and the patient was admitted to the intensive care unit (ICU). After the patient and his wife were informed that CABG surgery was no longer possible, he declined further intensive care treatment and subsequently died peacefully.We show that a structured palliative approach which has been proposed for cancer patients may also be feasible in palliative situations concerning nononcologic patients.