Intensité des soins lors des exacerbations et des complications des pathologies respiratoires chroniques

Article Article scientifique Article Intensité des soins lors des exacerbations et des complications des pathologies respiratoires chroniques fre 2017 author Sakhri L author Saint-Raymond C author Quetant S author Pison C author Lagrange E author Hamidfar Roy R author Janssens J-P author Maindet-Dominici C author Garrouste-Orgeas M author Levy-Soussan M author Terzi Narolia 799949 author Toffart A-C 102-120 10.1016/j.rmr.2016.06.005 27639947 0761-8425 The issue of intensive and palliative care in patients with chronic disease frequently arises. This review aims to describe the prognostic factors of chronic respiratory diseases in stable and in acute situations in order to improve the management of these complex situations. The various laws on patients' rights provide a legal framework and define the concept of unreasonable obstinacy. For patients with chronic obstructive pulmonary disease, the most robust decision factors are good knowledge of the respiratory disease, the comorbidities, the history of previous exacerbations and patient preferences. In the case of idiopathic pulmonary fibrosis, it is necessary to know if there is a prospect of transplantation and to assess the reversibility of the respiratory distress. In the case of amyotrophic lateral sclerosis, treatment decisions depend on the presence of advance directives about the use of intubation and tracheostomy. For lung cancer patients, general condition, cancer history and the tumor treatment plan are important factors. A multidisciplinary discussion that takes into account the patient's medical history, wishes and the current state of knowledge permits the taking of a coherent decision. Chronic Disease Critical Care/utilization Decision Making Humans Palliative Care/methods Patient Comfort/methods Prognosis Respiration Disorders/complications/diagnosis/therapy Dewey 616 56 Département de médecine 221 false 952 Groupe Gasche-Soccal Paola 958 Revue des maladies respiratoires 34 2 c1f12b9a-39ba-44ca-b9ac-4c1217bb37a0 Article (Published version) Public LimitationsOfActiveTherapeutic.pdf 2216469 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de médecine

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Intensité des soins lors des exacerbations et des complications des pathologies respiratoires chroniques	Revue des maladies respiratoires			2017	514	583

Archive ouverte UNIGE

Terzi, Narolia