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Erschienen in: Wiener Medizinische Wochenschrift 23-24/2015

01.12.2015 | main topic

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

verfasst von: MD Thomas Weber, MD, ABHPM Florian Strasser

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 23-24/2015

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Summary

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.
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Metadaten
Titel
When is an invasive palliative intervention in an acute internal medical patient worth it? A structured palliative approach
verfasst von
MD Thomas Weber
MD, ABHPM Florian Strasser
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 23-24/2015
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-015-0406-1