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[null,null,"Titolo",null,"Palliative care in cardiac intensive care units / / edited by Massimo Romanò"]
[null,null,"Pubbl/distr/stampa",null,"Cham, Switzerland : , : Springer, , [2021]"]
[{"$nulls":4},"©2021"]
[null,null,"ISBN",null,"3-030-80112-8"]
[null,null,"Descrizione fisica",null,"1 online resource (202 pages)"]
[null,null,"Disciplina",null,"616.106"]
[null,null,"Soggetti",null,"Cardiac intensive care"]
[{"$nulls":4},"Medicina intensiva en cardiologia"]
[{"$nulls":4},"Tractament pal·liatiu"]
[{"$nulls":4},"Llibres electrònics"]
[null,null,"Lingua di pubblicazione",null,"Inglese"]
[null,null,"Formato",null,"Materiale a stampa"]
[null,null,null,"Livello bibliografico","Monografia"]
[null,null,"Nota di contenuto",null,"Intro -- 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 -- 2.3  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 -- 4: 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 "]
[{"$nulls":4},"-- 4.5.3  Treatment Approach -- 4.5.4  The Doctor -- 4.6  Conclusions -- References -- 5: Informed Consent, Advance Directives, and Shared Care Planning -- 5.1  Introduction -- 5.2  Legal and Ethical Aspects -- 5.3  Shared Care Planning and Advance Directives in Cardiology -- 5.4  Conclusions -- References -- 6: Withholding or Withdrawing Life-Sustaining Treatments -- 6.1  Introduction."]
[{"$nulls":4},"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 -- 6.7.3  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 -- 8: Withdrawal of Mechanical Circulatory Support in the Cardiac Intensive Care Unit -- 8.1  Introduction -- 8.2  Why Is LST Withdrawal Challenging? -- 8.3  Ethical Consideration in Withdrawal of Cardiopulmonary Devices -- 8.4  Approach to Specific Life-Sustaining Treatments -- 8.5  Mechanical Ventilation -- 8.6  MCSDs (IABP, Impella, ECMO, and LVAD) -- 8.7  The Role of Palliative Care Consultation -- 8.8  Conclusion -- References -- 9: Do-Not-Attempt-Resuscitation Orders in the Cardiac Intensive Care Unit -- 9.1  Cardiopulmonary Resuscitation -- 9.2  Intensive Care Medicine: A Balance of Risks and Benefits -- 9.3  The Utility of DNACPR Orders -- 9.4  The Unintended Consequences of DNACPR Orders -- 9.5  Shared Decision-Making -- 9.6  Moving Beyond DNACPR Towards Resuscitation Plans -- 9.7  Conclusions -- References."]
[{"$nulls":4},"10: Palliative Sedation in Cardiac Intensive Care Units: When, Why, How -- 10.1  Introduction -- 10.2  The Definition of Palliative Sedation -- 10.3  Indications for Palliative Sedation -- 10.4  Types of Palliative Sedation -- 10.5  Pharmacological Aspects -- 10.6  Ethical Aspects in Palliative Sedation -- 10.7  The Ethical Difference Between Palliative Sedation and Euthanasia -- 10.8  The Relationship Between Palliative Sedation and Forgoing Treatment -- 10.9  Correct Decision-Making Management -- References -- 11: Nursing and the End of Life in Cardiac Intensive Care Unit (CICU) -- 11.1  Introduction -- 11.2  Decision-Making and Discussions About Goals of Care -- 11.3  Person- and Family-Centred Care -- 11.4  Care Planning -- 11.5  Palliative Interventions -- 11.6  Preparing for Withdrawal of Life-Sustaining Treatment or Imminent Death -- 11.7  Meeting Psychosocial and Spiritual Needs -- 11.8  Unanticipated Death -- 11.9  Care After Death -- References -- 12: Conflict Management in the Cardiac Intensive Care Unit -- 12.1  Conflicts in the Cardiac Intensive Care Unit: Definitions, Background, and Examples -- 12.2  Conflict Characteristics -- 12.3  Managing Conflicts: Can We Be Better In Conflicts? -- 12.4  Involvement of a Palliative Care Team: Experiences -- 12.5  How to Turn Conflict into an Opportunity for Improvement? -- 12.6  Conclusion -- References -- 13: Ethical Considerations in the Use of Technology in the Cardiac Intensive Care Unit -- 13.1  Introduction -- 13.2  Utility Versus Futility -- 13.3  When to Start and When to Stop: Withholding Versus Withdrawing -- 13.4  Hype, Hope, and Hubris -- "]
[{"$nulls":4},"13.5  The External Drivers of Too Much Technology -- 13.6  The Internal Drivers of Too Much Technology -- 13.7  Conclusion -- References -- 14: Physician Education and Training in Palliative Care: A New Challenge in Modern Cardiac Intensive Care."]
[{"$nulls":4},"14.1  Introduction: The Modern Cardiac Intensive Care Unit -- 14.2  Palliative Care in the CICU -- 14.3  Primary and Specialty Palliative Care in the CICU -- 14.4  Physician Education and Training -- 14.5  Primary Palliative Care Learning Objectives -- 14.6  Communication -- 14.7  Decision-Making -- 14.8  Therapies and Interventions Unique to CICU -- 14.9  Shared Decision-Making -- 14.10  Symptom Management -- 14.11  Teaching Modalities -- 14.12  Bedside Teaching -- 14.13  Didactics -- 14.14  Case Based -- 14.15  Conclusion -- References."]