Elsevier

Medicina Intensiva

Volume 40, Issue 5, June–July 2016, Pages 263-265
Medicina Intensiva

EDITORIAL
Innovación en la gestión de las unidades de cuidados intensivos: es el momentoInnovation in the management of intensive care units: This is the right time

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    Early administration of non-invasive respiratory support (non-invasive MV or high-flow nasal oxygen) has proven to be efficacious in these patients in preventing the need for invasive MV and lower mortality in cancer patients with respiratory failure.49,50 We are currently seeing a paradigm shift as regards treatment approach and admission of patients with active oncological disease to ICU42,51 owing to different circumstances, such as a change in prognosis for cancer in recent years even after being admitted to an ICU,52,53 improved quality of life after receiving treatment, and the evolution of monitoring systems and treatment in Intensive Care, enabling less invasive and aggressive support, adapting treatment to the patient, as well as possibly to a change in thinking about treatment objectives in caring for critical patients.54 In 2011, an international consensus was published on ICU admission criteria in patients with cancer.42

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