Book contents
- Shared Decision Making in Adult Critical Care
- Shared Decision Making in Adult Critical Care
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Chapter 1 When Does Shared Decision-Making Apply in Adult Critical Care?
- Chapter 2 How Much Does the Family Want to Be Involved in Decision-Making?
- Chapter 3 Show Me the Data
- Chapter 4 Communication Skills for Critical Care Family Meetings
- Chapter 5 The Do-Not-Resuscitate Order
- Chapter 6 The Do-Not-Intubate Order
- Chapter 7 Prolonged Ventilator Dependence for the Pulmonary Patient
- Chapter 8 Renal Replacement Therapy
- Chapter 9 Shared Decision-Making during Extracorporeal Membrane Oxygenation
- Chapter 10 Hypoxic–Ischemic Brain Injury after Cardiac Arrest
- Chapter 11 Decompressive Craniectomy for Stroke Patients
- Chapter 12 Decompressive Craniectomy for Traumatic Brain Injury Patients
- Chapter 13 Severe Traumatic Spinal Cord Injury
- Chapter 14 Potentially Inappropriate Treatment and Conscientious Objection
- Chapter 15 Shared Decision-Making in Emergent Situations
- Chapter 16 Advance Directives
- Chapter 17 Care of the Unbefriended Patient
- Chapter 18 The Role of Palliative Care in the Intensive Care Unit
- Chapter 19 Measuring and Evaluating Shared Decision-Making in the Intensive Care Unit
- Chapter 20 Brain Death Discussions
- Index
- References
Chapter 6 - The Do-Not-Intubate Order
Published online by Cambridge University Press: 27 May 2021
- Shared Decision Making in Adult Critical Care
- Shared Decision Making in Adult Critical Care
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Chapter 1 When Does Shared Decision-Making Apply in Adult Critical Care?
- Chapter 2 How Much Does the Family Want to Be Involved in Decision-Making?
- Chapter 3 Show Me the Data
- Chapter 4 Communication Skills for Critical Care Family Meetings
- Chapter 5 The Do-Not-Resuscitate Order
- Chapter 6 The Do-Not-Intubate Order
- Chapter 7 Prolonged Ventilator Dependence for the Pulmonary Patient
- Chapter 8 Renal Replacement Therapy
- Chapter 9 Shared Decision-Making during Extracorporeal Membrane Oxygenation
- Chapter 10 Hypoxic–Ischemic Brain Injury after Cardiac Arrest
- Chapter 11 Decompressive Craniectomy for Stroke Patients
- Chapter 12 Decompressive Craniectomy for Traumatic Brain Injury Patients
- Chapter 13 Severe Traumatic Spinal Cord Injury
- Chapter 14 Potentially Inappropriate Treatment and Conscientious Objection
- Chapter 15 Shared Decision-Making in Emergent Situations
- Chapter 16 Advance Directives
- Chapter 17 Care of the Unbefriended Patient
- Chapter 18 The Role of Palliative Care in the Intensive Care Unit
- Chapter 19 Measuring and Evaluating Shared Decision-Making in the Intensive Care Unit
- Chapter 20 Brain Death Discussions
- Index
- References
Summary
Mrs. Williams is an 82-year-old woman with severe chronic obstructive pulmonary disease (COPD), hypertension, and diastolic heart failure who is admitted to the medical intensive care unit (ICU) with acute hypercapnic/hypoxemic respiratory failure necessitating rescue noninvasive bilevel positive airway pressure. She seems to be fatigued and volume overloaded on physical examination, with coarse breath sounds bilaterally. You have started diuretics and empiric treatment for a COPD exacerbation, but you worry that she may not be responding adequately to noninvasive ventilation. This is her third admission in the last 6 months. She has never required intubation, and from a brief chart review, it does not seem that intubation has been previously discussed in detail.
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- Shared Decision Making in Adult Critical Care , pp. 41 - 50Publisher: Cambridge University PressPrint publication year: 2021