DATE PUBLISHED: August 2021

FORMAT: Paperback

ISBN: 9781108735544

LENGTH: 208 pages

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.

A case-based textbook offering evidence-based guidance for shared medical decision making in critical care and providing concrete examples of evidence as utilized in practice for the promotion of patient-centered care, that is medically appropriate and aligned with patient goals and preferences

Focused on the critical topic of shared decision making, a cornerstone of practice in the intensive care unit and more important to master than most realize

Presents a review of the current literature and society guidelines as related to specific scenarios in the critical care unit providing up-to-date and relevant guides to improve all learners’ understanding of this topic and means to adopt in practice

Table of Contents

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.

Editors

Matthew N. Jaffa, Hartford Hospital, Connecticut
Matthew N. Jaffa is Associate Director of the NeuroRecovery Clinic in the Ayer Neuroscience Institute at Hartford Hospital and Assistant Professor of Neurology at the University of Connecticut School of Medicine.

David Y. Hwang, Yale University, Connecticut
David Y. Hwang is Associate Professor of Neurology in the Division of Neurocritical Care and Emergency Neurology at the Yale School of Medicine.

Contributors

Matthew Jaffa, David Hwang, Christopher Bryant, Michael Rubin, Mitra Haeri, Melissa Motta, Jessica Macfarlin, Timothy M. Dempsey, Michael E. Wilson, Catherine Auriemma, Joshua Kayser, Matthew Wilson, Phil Choi, Hassan Suleiman, Paul McCarthy, Barnaby Lewin, Kollengode Ramanathan, Sonya Zhou, Carolina Maciel, Matthew Jaffa (U Maryland), David Hwang (Yale), Connie Ge, Angelos Kolias, Susanne Muehlschlegel, Christopher Marcellino (Mayo), Alejandro Rabinstein (Mayo), Nneka Sederstrom, Alexandra Wichmann, Katharine R. Colton, Evie G. Marcolini, Josh Rolnick, Stephen Trevick, Adeline Goss, Claire Creutzfeldt, Alison Turnbull, Jacquline Kruser, Elizabeth Carroll, Ariane Lewis.