ICU sedation, delirium & recovery

The trajectory of very old critically ill patients

Intensive Care MedPublished Narrative review with expert recommendations

Methodological detailsinternational experts
  • International experts

Recommendations

As issued by the authors

  1. Define a minimum core dataset of information to be shared and discussed prior to intensive care unit (ICU) admission and facilitate shared decision-making with the patient and caregivers throughout the patient journey

  2. Avoid over- and under-utilisation of critical care interventions; include health care professionals, the patient and caregivers in the decision process

  3. Document uncertainty to support a tailored level of care and discussions on possible limitations of life sustaining treatments

  4. Goal of ICU care: maintain an acceptable quality of life and functional autonomy after hospital discharge, not only avoid death

Original publication

The trajectory of very old critically ill patients. Intensive Care Med. Published 18 January 2024. doi:10.1007/s00134-023-07298-z

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