Management of Intensive Care Unit Admission of Patients With Blood Cancer

Author(s): Camille Francou, MD, Bernard Tardy, MD, PhD, Emmanuelle Tavernier, MD, Margot Brossard, APN, Eric Diconne, MD, Guillaume Dumas, MD, PhD, and Emilie Chalayer, MD, PhD

Contact Hours 1.00

CERP A 1.00

Expires Nov 01, 2029

Topics: Hematology/Oncology

Fees
Member: Free
NonMember: $10.00

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Activity Summary

Before you Begin

1. Reflect on the following question: What new knowledge or perspective do you hope to gain from this activity?

2. Review: Implicit Bias and its Impact on Patient Outcomes (License requirement for California)

Description

This article explores the complex decision-making involved in admitting patients with hematologic malignancies to the intensive care unit (ICU). Although advances in cancer therapies and early diagnosis have improved survival rates, outcomes remain poor for patients who develop critical complications requiring intensive care. Studies show that while nearly half of these patients survive the immediate post-ICU period, long-term survival remains low and treatment plans often change significantly after critical illness. Using clinical vignettes, a nationwide survey of French hematologists and intensivists examined how cancer status, clinician experience, and institutional practices influence ICU admission decisions, highlighting the challenges of balancing prognosis, treatment goals, and resource utilization.

Objectives

  • Identify clinical scenarios requiring immediate or early ICU admission in patients with blood cancer.
  • Compare hematologists' and intensivists' ICU admission practices and factors contributing to inconsistent triage.
  • Describe strategies to improve multidisciplinary ICU triage, early referral, and nursing involvement in shared decision-making.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.