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However, most Thai families prefer not to escalate therapy including CPR.
Around 20% were not ready to make a decision, but finally agreed not to escalate therapy.
In a futile case scenario, Do Not Escalate Therapy was the preferred response (54.7%).
Myocardial depression with β-blockers could explain the need to escalate therapy with vasoactive drugs in the current series.
This was an elderly patient with cryptogenic cirrhosis and multiple organ failure in whom a decision was made not to escalate therapy.
In the urgent clinical setting, the decision to escalate therapy should be made as part of a multidisciplinary discussion involving the interventionist and the primary medical team.
Similar(51)
A critical issue has been the rate at which healthcare professionals escalate therapies.
Respondents as well as participants in other surveys are familiar with decompressive laparotomy and more or less perform this escalated therapy option partly in combination with open-abdomen management often (Table 1).
Half of the respondents preferred to de-escalate therapy when the results of microbiology tests are available.
Moreover, RT is associated with debilitating early- and late-treatment-related toxicity, thus finding means to de-escalate therapy, while retaining/augmenting therapeutic effectiveness, is highly desirable.
On the other hand, for cases that demonstrate lower biological aggression or a reduced tendency for metastasis, it may be possible to de-escalate therapy (Barry et al, 2013).
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