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    Oncologic emergencies that need supportive care in ICU
    (Internet Scientific Publications, 2001) Küçükardalı, Y.; Cancır, Z.; Özkan, S.; Top, C.; Çakır, O.; Gökben, M.; Danacı, M.
    Patients with oncologic disease have numerous complications that are life- threatening and may require hospitalisation in the intensive care unit. If not recognized and treated appropriately, these complications can be fatal. We reviewed all 840 patients admitted to medical intensive care unit of GATA Haydarpasa Training Hospital during one - year period. 75 (8.9%) oncologic patients with 140 oncologic emergency episodes that needed supportive care were documented. Thirty one (22.1%) emergency episodes were related to gastrointestinal system (bleeding, obstructive icter, ascites, peritonitis, intractable vomiting), 23(16.4 %) respiratory system (pneumonia, obstructive dyspnea ), 22 (15.7%) hematopoietic system (neutropenia, anemia, pancytopenia, disseminated intravascular coagulation), 19 (13.5%) genitourinary system (obstructive renal insufficiency, acute tumour lysis syndrome, severe electrolyte abnormalities, nephrotoxicity, urosepsis), 14 (10%) nervous system (organic brain syndrome, convulsion, seizures, pain ) 10 (7.1%) multiorgan failure, sepsis) 9 (6.4 %) cardiovascular system (superior vena cava syndrome, hypotension, dysrhythmia, cardiotoxicity) 5 (3.5%) malnutrition, 2 (1.4 %) exfoliative dermatitis and 5 (3.5%) were undiagnosed. Quality of life could be improved in 48 (64%) patients with appropriate supportive care and 30 (40%) patients were referred to oncologic therapies after supportive care. Our mortality rate was 36% in this population. We conclude that with appropriate medical and nursing management, these emergencies can be either prevented or their complications minimised.