Case 19-2020: A 74-Year-Old Man with Acute Respiratory Failure and Unclear Goals of Care
A 74-year-old man with lymphoma was admitted to the hospital during the Covid-19 pandemic because of rapidly progressive respiratory failure. Several years earlier, when he had been critically ill, he had expressed a desire for “do not resuscitate” status. More recently, he had indicated that he wou...
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| Veröffentlicht in: | The New England journal of medicine 2020-06, Vol.382 (25), p.2450-2457 |
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| container_title | The New England journal of medicine |
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| creator | Jacobsen, Juliet C Tran, Kathy M Jackson, Vicki A Rubin, Emily B |
| description | A 74-year-old man with lymphoma was admitted to the hospital during the Covid-19 pandemic because of rapidly progressive respiratory failure. Several years earlier, when he had been critically ill, he had expressed a desire for “do not resuscitate” status. More recently, he had indicated that he would try all therapies that may be helpful. A consultation was requested. |
| doi_str_mv | 10.1056/NEJMcpc2002419 |
| format | Article |
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Several years earlier, when he had been critically ill, he had expressed a desire for “do not resuscitate” status. More recently, he had indicated that he would try all therapies that may be helpful. A consultation was requested.</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMcpc2002419</identifier><identifier>PMID: 32459917</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Acute Disease ; Aged ; Cancer therapies ; Cardiopulmonary Resuscitation ; Cardiovascular disease ; Case reports ; Coronavirus Infections - diagnosis ; Coronavirus Infections - therapy ; Coronaviruses ; COVID-19 ; Decision Making, Shared ; Diagnosis, Differential ; Fatal Outcome ; Health care ; Hospitals ; Humans ; Influenza A virus - isolation & purification ; Influenza, Human - complications ; Influenza, Human - diagnosis ; Informed Consent ; Intensive care ; Intubation ; Lung - diagnostic imaging ; Lymphoma ; Male ; Medical prognosis ; Mens health ; Oxygen saturation ; Palliative Care ; Pandemics ; Patient Participation ; Patients ; Pneumonia, Viral - diagnosis ; Pneumonia, Viral - therapy ; Radiography, Thoracic ; Respiratory failure ; Respiratory Insufficiency - etiology ; Resuscitation Orders ; Ulcers ; Ventilators</subject><ispartof>The New England journal of medicine, 2020-06, Vol.382 (25), p.2450-2457</ispartof><rights>Copyright © 2020 Massachusetts Medical Society. 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Several years earlier, when he had been critically ill, he had expressed a desire for “do not resuscitate” status. More recently, he had indicated that he would try all therapies that may be helpful. A consultation was requested.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Cancer therapies</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Cardiovascular disease</subject><subject>Case reports</subject><subject>Coronavirus Infections - diagnosis</subject><subject>Coronavirus Infections - therapy</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Decision Making, Shared</subject><subject>Diagnosis, Differential</subject><subject>Fatal Outcome</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Influenza A virus - isolation & purification</subject><subject>Influenza, Human - complications</subject><subject>Influenza, Human - diagnosis</subject><subject>Informed Consent</subject><subject>Intensive care</subject><subject>Intubation</subject><subject>Lung - diagnostic imaging</subject><subject>Lymphoma</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Mens health</subject><subject>Oxygen saturation</subject><subject>Palliative Care</subject><subject>Pandemics</subject><subject>Patient Participation</subject><subject>Patients</subject><subject>Pneumonia, Viral - diagnosis</subject><subject>Pneumonia, Viral - therapy</subject><subject>Radiography, Thoracic</subject><subject>Respiratory failure</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Resuscitation Orders</subject><subject>Ulcers</subject><subject>Ventilators</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kM1Lw0AQxRdRbK1ePcqCIF5S9yvdrLcS2qq0FsSCnsJmM8GUfNTdBOl_70qroOBchhl-7_F4CJ1TMqQkHN08Th4WZmMYIUxQdYD6NOQ8EIKMDlHfP6NASMV76MS5NfFDhTpGPc5EqBSVffQSaweYqoARRm7xGEsRvIK2wbLM8ELX-KNo3_DYdC3gJ3Cbwuq2sVs81UXZWcC6zvCqNqWX4FmjS4ebHMfawik6yv0JZ_s9QKvp5Dm-C-bL2X08ngdGMNYGCkZZKqWOQimBMRUZqYBwkvMsVSlIpkEIpXJJRGhCkGGkQp1qOQKTcioFH6Drne_GNu8duDapCmegLHUNTecSJogXUcmURy__oOums7VP5ykqBI84Y54a7ihjG-cs5MnGFpW224SS5Kvz5HfnXnCxt-3SCrIf_LtkD1ztgKpySQ3r6j-nT_8tg-Y</recordid><startdate>20200618</startdate><enddate>20200618</enddate><creator>Jacobsen, Juliet C</creator><creator>Tran, Kathy M</creator><creator>Jackson, Vicki A</creator><creator>Rubin, Emily B</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20200618</creationdate><title>Case 19-2020: A 74-Year-Old Man with Acute Respiratory Failure and Unclear Goals of Care</title><author>Jacobsen, Juliet C ; Tran, Kathy M ; Jackson, Vicki A ; Rubin, Emily B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-9e6db77a8577e2298c79e030f3db9be72ae4499f7045c5e75895aba76ecb31743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Cancer therapies</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Cardiovascular disease</topic><topic>Case reports</topic><topic>Coronavirus Infections - diagnosis</topic><topic>Coronavirus Infections - therapy</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Decision Making, Shared</topic><topic>Diagnosis, Differential</topic><topic>Fatal Outcome</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Influenza A virus - isolation & purification</topic><topic>Influenza, Human - complications</topic><topic>Influenza, Human - diagnosis</topic><topic>Informed Consent</topic><topic>Intensive care</topic><topic>Intubation</topic><topic>Lung - diagnostic imaging</topic><topic>Lymphoma</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Mens health</topic><topic>Oxygen saturation</topic><topic>Palliative Care</topic><topic>Pandemics</topic><topic>Patient Participation</topic><topic>Patients</topic><topic>Pneumonia, Viral - diagnosis</topic><topic>Pneumonia, Viral - therapy</topic><topic>Radiography, Thoracic</topic><topic>Respiratory failure</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Resuscitation Orders</topic><topic>Ulcers</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jacobsen, Juliet C</creatorcontrib><creatorcontrib>Tran, Kathy M</creatorcontrib><creatorcontrib>Jackson, Vicki A</creatorcontrib><creatorcontrib>Rubin, Emily B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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| ispartof | The New England journal of medicine, 2020-06, Vol.382 (25), p.2450-2457 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
| subjects | Acute Disease Aged Cancer therapies Cardiopulmonary Resuscitation Cardiovascular disease Case reports Coronavirus Infections - diagnosis Coronavirus Infections - therapy Coronaviruses COVID-19 Decision Making, Shared Diagnosis, Differential Fatal Outcome Health care Hospitals Humans Influenza A virus - isolation & purification Influenza, Human - complications Influenza, Human - diagnosis Informed Consent Intensive care Intubation Lung - diagnostic imaging Lymphoma Male Medical prognosis Mens health Oxygen saturation Palliative Care Pandemics Patient Participation Patients Pneumonia, Viral - diagnosis Pneumonia, Viral - therapy Radiography, Thoracic Respiratory failure Respiratory Insufficiency - etiology Resuscitation Orders Ulcers Ventilators |
| title | Case 19-2020: A 74-Year-Old Man with Acute Respiratory Failure and Unclear Goals of Care |
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