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01.12.2015 | main topic | Ausgabe 23-24/2015

Wiener Medizinische Wochenschrift 23-24/2015

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

Wiener Medizinische Wochenschrift > Ausgabe 23-24/2015
MD Thomas Weber, MD, ABHPM Florian Strasser


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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