The adult critical care setting requires complex clinical decisions to be made that have a dramatic impact on the lives of patients and their families. This textbook offers evidence-based case histories around shared decision making, providing practical advice to clinicians who are trying to navigate routine clinical scenarios in adult critical care. Early chapters explore the definition of the shared decision making process and practical steps that aid its implementation. The greater part of the book focuses on how shared decision making can be practiced in specific situations that are common in adult critical care, highlighting the relevant knowledge base necessary to manage each situation. Do-not-resuscitate and do-not-intubate orders, ECMO, and resolving conflicts regarding potentially inappropriate treatment are among the topics covered. An essential resource for healthcare professionals working in critical care and those looking for a framework for the use of shared decision making in this setting.
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Preface; 1. When does shared decision making apply in adult critical care? Matthew Jaffa and David Hwang; 2. How much does the family want to be involved in decision making? Christopher Bryant and Michael Rubin; 3. Show me the data: Tips for discussing numerical risk in critical care Mitra Haeri and Melissa Motta; 4. Communication skills for critical care family meetings Jessica Macfarlin; 5. The do-not-resuscitate order Timothy M. Dempsey and Michael E. Wilson; 6. The do-not-intubate order Catherine Auriemma and Joshua Kayser; 7. Prolonged ventilator dependence for the pulmonary patient Matthew Wilson and Phil Choi; 8. Renal replacement therapy Hassan Suleiman and Paul McCarthy; 9. Shared decision making during extracorporeal membrane oxygenation Barnaby Lewin and Kollengode Ramanathan; 10. Hypoxic-Ischemic brain injury following cardiac arrest Sonya Zhou and Carolina Maciel; 11. Decompressive craniectomy for stroke patients Matthew Jaffa (U Maryland) and David Hwang (Yale); 12. Decompressive craniectomy for traumatic brain injury patients Connie Ge, Angelos Kolias and Susanne Muehlschlegel; 13. Severe traumatic spinal cord injury Christopher Marcellino (Mayo) and Alejandro Rabinstein (Mayo); 14. Potentially inappropriate treatment and conscientious objections Nneka Sederstrom and Alexandra Wichmann; 15. Shared decision making in emergent situations Katharine R. Colton and Evie G. Marcolini; 16. Advance directives: Policy, law, and use in shared decision making Josh Rolnick; 17. Care of the unbefriended patient Stephen Trevick; 18. The role of palliative care in the intensive care unit Adeline Goss and Claire Creutzfeldt; 19. Measuring and evaluating shared decision making in the intensive care unit Alison Turnbull and Jacquline Kruser; 20. Brain death discussions Elizabeth Carroll and Ariane Lewis.
