Oncologic Critical Care

Joseph L. Nates, M.D., M.B.A, F.C.C.M.Professor, Deputy Chair, President ONCCC-R-NETSICU and MICU Medical DirectorThe University of Texas MD Anderson Cancer Center Department of Critical CareDivision of Anesthesiology, Critical Care, and Pain MedicineHouston, TX USAKristen J. Price, M.D., FCCPProfessor, ChairThe University of Texas MD Anderson CenterDepartment of Critical Care and Respiratory CareDivision of Anesthesiology, Critical Care, and Pain MedicineHouston, TXUSA

Oncologic Critical Care Department Organization.- Critical Care Staffing.- ICU Admission and Discharge Criteria.- Quality Assurance and Improvement.- ICU Utilization.- Current Trends in ICU Beds, Use, Occupancy, and Costs in the United States.- Early Warning Systems for the ICU.- Patient Risk Prediction Model (Severity of Illness Scores).- Rapid Response Team.- Nursing.- Pharmacy.- Nutrition.- Physical and Occupational Therapy.- Patient Support.- Advocacy and Social Work.- Chaplaincy.- Role of the APPs in the Onco-ICU.- Credentialing.- Competencies.- Chemotherapy.- Considerations for Medications Commonly Utilized in the Oncology Population.- Supportive Care Considerations.- GHVD, TEN, and Mycosis Fungoides.- Medication-induced Neurotoxicity.- Delirium and Psychosis.- Seizures and Status Epilepticus.- Stroke.- Increased Intracranial Pressure (brain mets, ich, hydrocephalus, etc).- Posterior Reversible Encephalopathy Syndrome (PRES).- Tumor-related Diseases/Neoplastic Meningitis/Leptomeningeal Disease.- Frequent CNS Infections in the Immunosuppressed Patient.- Intracranial Hemorrhage Focused on Cancer and Hemato-oncologic Patients.- Spinal Cord Compression.- TCD in the ICU.- Acute and Chronic Respiratory Failure.- Oxygen therapy (low-flow and high-flow oxygen therapy).- Respiratory Care of the Critically Ill Patient.- Management of Tracheobronchial Diseases.- Pulmonary Hypertension.- ARDS and the differential diagnosis of pulmonary infiltrates in the cancer patient.- Diffuse Alveolar Hemorrhage.- Differentiation (Retinoic acid ATRA) Syndrome.- Late Non Infectious Pulmonary Complications in Hematopoietic Stem Cell Transplantation.- Treatment-related Lung Injury.- Pneumonia in the Cancer Patient.- Ventilatory Strategies and Weaning from Mechanical Ventilation.- Noninvasive Ventilation.- High Frequency Ventilation.- Prone Ventilatory Therapy.- Bi-Level and Airway Pressure Release Ventilation.- NAVA.- ECMO in Cancer Patients.- Tracheostomy: Appropriateness and Indications in Cancer Patients.- Pleural Disease, Malignant and Benign Pleural Effusions.- Sleep Disorders in the Oncologic ICU.- Hemodynamic evaluation.- Acute Coronary Syndrome Thrombocytopenia and Antiplatelet Therapy in the Cancer Patient.- Interventional Cardiology in the Cancer Patient.- Arrhythmias in the Cancer Patient.- Management of Pericardial Effusions/Tamponade.- Chemotherapy-related Cardiovascular Complications.- Cardiopulmonary Resuscitation in the Cancer Patient.- Gastrointestinal Bleeding.- Malignant Ascites.- Hepatobiliary Disease.- Acute abdomen in the cancer patient.- Hematuria.- Hemorrhagic cystitis.- Obstructive Uropathy in the Cancer Patient.- Acute Renal Failure.- Renal Replacement Therapy.- Adrenal Emergencies.- Carcinoid Crises.- Thyroid Emergencies.- Electrolytic Abnormalities.- Hypoglycemia and Hyperglycemia in the Cancer Patient.- Malignant Hematological Diseases.- Benign Hematological Diseases.- Immunology and molecular biology for the intensivist.- Statistics.-Blood Products.- Transfusion Reactions.- Transfusion Related Lung Injury.- Alternatives to Blood Products.- Massive Bleeding Protocol.- Transfusion Thresholds.- Management of Arterial Bleeding.- Prevention and Management of Venous Thromboembolism in the Cancer Patient.- SVC Syndrome.- Catheter-related Deep Vein Thrombosis.- Infection Control Procedures.- Neutropenic Fever.- Sepsis and Management of Septic Shock.- Management of Multi-Drug Resistant Organisms.- Fungal Infections.- Viral Infections.- Bacterial and Atypical Infections.- Catheter and Device Related Infections.- Nosocomial Infections and Ventilator Associated Pneumonia.- Protozoal Infections in the Cancer Patients.- Antibiotic Stewardship.- Tropical diseases in the cancer patient.- Soft tissue infections.- Neurosurgery.- Head & Neck Surgery.- Plastic Surgery & Flap Graft Management.- Thoracic Surgery.- GI Surgery.- Hepatic Surgery.- Pancreatic Surgery.- Genitourinary Surgery.- Orthopedic Surgery.- Interventional Radiology.- Radiation Therapy & Gamma Knife Procedures.- MRI.- Outpatient Surgery.- Management of the Pregnant Critically Ill Cancer Patient.- Special Considerations of Hemato-Oncologic Critically Ill Patient.- Pediatric Cancer Critical Care.- ICU Procedures by APP.- Management of the Airway in the Cancer Patient.- Use of Ultrasound Guidance.- Interventional Radiology Procedures.- Do Not Resuscitate Orders.- Ethics Consultation.- End of Life Care.- Medical Futility.- Acute Pain.- Chronic Pain.- Substance Withdrawal.- Palliative Care in the critically ill cancer patient.- Outcomes in Critically Ill Oncologic Patients.