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Table 3 Different ICU admission policies

From: Intensive care of the cancer patient: recent achievements and remaining challenges

Type of ICU admission Code status Clinical situation
1. Full code ICU
management
Full code Newly diagnosed malignancies
Malignancies in complete remission
2. ICU trial Unlimited for a limited time
period—at least 3 to 5 days
Clinical response to therapy not available or
undetermined
3. Exceptional ICU
admission
Same as ICU trial Newly available effective therapy that should be
tested in a patient who becomes critically ill
4. Heroic ICU admission ICU management until conflict
resolution
Both hematologists/oncologists and intensivists agree
that ICU admission is not appropriate, but patients or
relatives disagree with the appropriate level of care
5. Other admission modalities that are performed but not yet formally evaluated  
a) Prophylactic ICU admission Full code; intensive clinical and
biological monitoring; invasive
procedures under safer conditions
Earliest phase of high-risk malignancies. Admission
to the ICU is warranted to avoid development of
organ dysfunction (acute respiratory failure, tumor
lysis syndrome, etc.)
b) Early ICU admission Full code; intensive clinical and
biological monitoring; invasive
procedures under safe conditions;
no life-sustaining therapies
Admission to the ICU in patients with no organ
dysfunction but physiological disturbances. ICU is
warranted to avoid late ICU admission (condition
associated with higher mortality)
c) Palliative ICU admission Noninvasive strategies only Admission to the ICU for the purpose of undergoing
noninvasive mechanical ventilation as the ceiling of
therapy
d) In-ICU non-ICU care No life-sustaining therapies Short ICU admission to help for optimal and prompt
management (catheter withdrawal, early antibiotics
etc.)
e) Terminal ICU admission No life-sustaining therapies ICU admission is required to best provide palliative
care and symptom control. Controversial issue