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  1. Book: Palliative Care in Cardiac Intensive Care Units

    Romanò, Massimo

    2021  

    Author's details Massimo Romanò has been a Cardiologist in the Italian National Health System for 40 years. A past Head of Cardiac Electrophysiology at Garbagnate Milanese Hospital, Italy and past Head of the Cardiology Division at Vigevano Hospital, Italy, he has also been a Consultant at the Interdepartmental Center of Research on Palliative Care, University of Milan and a Member of the Organizing Committee for the 2nd Level Master in Palliative Care at the University of Milan. Since the early 2000s he has developed a particular interest in advanced heart failure and in end-of-life issues. He was involved in a drafting an Italian position paper on shared care planning for end stage chronic organ failures. He has also published papers on palliative care issues in cardiac intensive care units, and on the deactivation of implanted cardiac devices at the end of life
    Keywords End of Life ; Heart Failure ; Deactivation of Implantable Cardiac Devices ; Withholding/Withdrawing Life Sustaining Treatments ; Supportive Care
    Language English
    Size 212 p.
    Edition 1
    Publisher Springer International Publishing
    Document type Book
    Note PDA Manuell_11
    Format 160 x 241 x 17
    ISBN 9783030801113 ; 303080111X
    Database PDA

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  2. Book ; Online ; E-Book: Palliative care in cardiac intensive care units

    Romano, Massimo

    2021  

    Author's details edited by Massimo Romanò
    Keywords Cardiac intensive care ; Medicina intensiva en cardiologia ; Tractament pal·liatiu
    Subject code 616.106
    Language English
    Size 1 online resource (202 pages)
    Publisher Springer
    Publishing place Cham, Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-80112-8 ; 3-030-80111-X ; 978-3-030-80112-0 ; 978-3-030-80111-3
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

    Full text online

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  3. Book: Text atlas of practical electrocardiography

    Romano, Massimo

    a basic guide to ECG interpretation

    2015  

    Author's details Massimo Romanò
    Keywords Ischemic cardiomyopathy ; Coronary angioplasty ; Arterial hypertension ; Pacemaker patients ; Cardiomyopathy patients ; Electrocardiography ; Valvular diseases ; Cardiomyopathies ; Arrhythmias
    Language English
    Size XI, 224 S. : Ill., graph. Darst., 254 mm x 178 mm
    Publisher Springer
    Publishing place Milan u.a.
    Publishing country Italy
    Document type Book
    HBZ-ID HT018598901
    ISBN 978-88-470-5740-1 ; 88-470-5740-X ; 9788847057418 ; 8847057418
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2015 A 1242 available for loan (reading room) Lesesaal EG

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  4. Article: Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients.

    Romano', Massimo

    Journal of clinical medicine

    2022  Volume 11, Issue 23

    Abstract: Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive ... ...

    Abstract Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive palliative care (PC) have needs similar to cancer patients, but which are often unmet. This paper analyzes the main unresolved issues regarding the relationship between HF patients and the referral to an early PC program. These issues are presented as ten questions related to which patients should be admitted to PC and at what stage of their disease. Furthermore, the barriers opposing to referral to PC, the role of cardiologists and PC physicians within the care team, the gap between the scientific societies' suggestions and the real world, the right time to promote patients' awareness and shared decision making, regarding prognosis, end of life wishes and choices, with reference also to cardiac implantable devices' deactivation, are discussed. These unresolved questions support the need to reevaluate programs and specific models in achieving equal access to palliative care interventions for HF patients, which is still mainly offered to patients with cancer.
    Language English
    Publishing date 2022-11-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11236933
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients

    Massimo Romano’

    Journal of Clinical Medicine, Vol 11, Iss 6933, p

    2022  Volume 6933

    Abstract: Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive ... ...

    Abstract Heart failure is a clinical syndrome with increasing prevalence, high morbidity and mortality. It is characterized by high symptom burden, poor quality of life and high economic costs. This implies that the heart failure (HF) patients who receive palliative care (PC) have needs similar to cancer patients, but which are often unmet. This paper analyzes the main unresolved issues regarding the relationship between HF patients and the referral to an early PC program. These issues are presented as ten questions related to which patients should be admitted to PC and at what stage of their disease. Furthermore, the barriers opposing to referral to PC, the role of cardiologists and PC physicians within the care team, the gap between the scientific societies’ suggestions and the real world, the right time to promote patients’ awareness and shared decision making, regarding prognosis, end of life wishes and choices, with reference also to cardiac implantable devices’ deactivation, are discussed. These unresolved questions support the need to reevaluate programs and specific models in achieving equal access to palliative care interventions for HF patients, which is still mainly offered to patients with cancer.
    Keywords palliative care ; supportive care ; heart failure ; end of life care ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Barriers to Early Utilization of Palliative Care in Heart Failure: A Narrative Review.

    Romanò, Massimo

    Healthcare (Basel, Switzerland)

    2020  Volume 8, Issue 1

    Abstract: Palliative care is indicated in patients with heart failure since the early phases of the disease, as suggested by international guidelines. However, patients are referred to palliative care very late. Many barriers could explain the gap between the ... ...

    Abstract Palliative care is indicated in patients with heart failure since the early phases of the disease, as suggested by international guidelines. However, patients are referred to palliative care very late. Many barriers could explain the gap between the guidelines' indications and clinical practice. The term palliative is perceived as a stigma by doctors, patients, and family members because it is charged with negative meanings, a poor prognosis, and no hope for improvement. Many authors prefer the term supportive care, which could facilitate a discussion between doctors, patients, and caregivers. There is substantial variation and overlap in the meanings assigned to these two terms in the literature. Prognosis, as the main indication to palliative care, delays its implementation. It is necessary to modify this paradigm, moving from prognosis to patients' needs. The lack of access to palliative care programs is often due to a lack of palliative care specialists and this shortage will be greater in the near future. In this study, a new model is proposed to integrate early over the course of the disease the palliative care (PC) specialist in the heart failure team, allowing to overcome the barriers and to achieve truly simultaneous care in the treatment of heart failure (HF) patients.
    Language English
    Publishing date 2020-02-07
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare8010036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Fra cure intensive e cure palliative ai tempi di CoViD-19.

    Romanò, Massimo

    Recenti progressi in medicina

    2020  Volume 111, Issue 4, Page(s) 223–230

    Abstract: The pandemic infection caused by the virus SARS-CoV-2 has determined a severe imbalance between demand and actual supply of intensive care. The shortage of intensive care units (ICU) beds and ventilators for the treatment of patients with severe ... ...

    Title translation Between intensive care and palliative care at the time of CoViD-19.
    Abstract The pandemic infection caused by the virus SARS-CoV-2 has determined a severe imbalance between demand and actual supply of intensive care. The shortage of intensive care units (ICU) beds and ventilators for the treatment of patients with severe respiratory failure produced angst in the clinicians/intensivists who have to decide which patients admit to ICU and in which patients to implement palliative care. They have to apply specific clinical and ethical criteria, in emergency conditions. Proportionality and appropriateness criteria should be integrated with equity, equality, utility criteria, widening the distributive justice concept from the right of the patient to receive all available therapies to a right resources allocation during shortage, guided by public health ethic. The clinical criteria should include the disease severity, the number and severity of comorbidities, frailty, the organ failures and their stage, the patient's age, the functional autonomy and cognitive status. Consequently the first come-first served rule to ICU admission should not be applied. The patients not admitted to ICU due to clinical reasons and advanced stage diseases should receive a high quality palliative care, to obtain a good symptoms control (mainly dyspnea, anxiety and delirium) and to implement palliative sedation at the end of life. Finally particular attention should be paid to the bereavement management of the family/caregivers and in the right approach of psychological problems and Post-Traumatic Stress Disorder of health workers involved in the pandemia.
    MeSH term(s) Bereavement ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Coronavirus Infections/therapy ; Critical Care/ethics ; Decision Making ; Family Health ; Health Equity ; Health Resources ; Hospital Bed Capacity ; Humans ; Italy ; Palliative Care/ethics ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; Pneumonia, Viral/therapy ; Resource Allocation ; Respiration, Artificial ; SARS-CoV-2 ; Severity of Illness Index
    Keywords covid19
    Language Italian
    Publishing date 2020-04-21
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 138266-4
    ISSN 2038-1840 ; 0034-1193
    ISSN (online) 2038-1840
    ISSN 0034-1193
    DOI 10.1701/3347.33185
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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  8. Article ; Online: The emergence of Alaskapox: exploring an unprecedented viral threat and implications for public health.

    Branda, Francesco / Romano, Chiara / Ciccozzi, Massimo / Scarpa, Fabio

    Infectious diseases (London, England)

    2024  Volume 56, Issue 6, Page(s) 496–498

    MeSH term(s) Humans ; Public Health ; Communicable Diseases, Emerging/virology ; Communicable Diseases, Emerging/epidemiology ; Alaska/epidemiology ; Animals
    Language English
    Publishing date 2024-03-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2839775-7
    ISSN 2374-4243 ; 2374-4235
    ISSN (online) 2374-4243
    ISSN 2374-4235
    DOI 10.1080/23744235.2024.2332463
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 600: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: Barriers to Early Utilization of Palliative Care in Heart Failure

    Massimo Romanò

    Healthcare, Vol 8, Iss 1, p

    A Narrative Review

    2020  Volume 36

    Abstract: Palliative care is indicated in patients with heart failure since the early phases of the disease, as suggested by international guidelines. However, patients are referred to palliative care very late. Many barriers could explain the gap between the ... ...

    Abstract Palliative care is indicated in patients with heart failure since the early phases of the disease, as suggested by international guidelines. However, patients are referred to palliative care very late. Many barriers could explain the gap between the guidelines’ indications and clinical practice. The term palliative is perceived as a stigma by doctors, patients, and family members because it is charged with negative meanings, a poor prognosis, and no hope for improvement. Many authors prefer the term supportive care, which could facilitate a discussion between doctors, patients, and caregivers. There is substantial variation and overlap in the meanings assigned to these two terms in the literature. Prognosis, as the main indication to palliative care, delays its implementation. It is necessary to modify this paradigm, moving from prognosis to patients’ needs. The lack of access to palliative care programs is often due to a lack of palliative care specialists and this shortage will be greater in the near future. In this study, a new model is proposed to integrate early over the course of the disease the palliative care (PC) specialist in the heart failure team, allowing to overcome the barriers and to achieve truly simultaneous care in the treatment of heart failure (HF) patients.
    Keywords palliative care ; supportive care ; heart failure ; end of life ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2020-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  10. Article ; Online: Facilitating supportive care in cardiac intensive care units.

    Romanò, Massimo

    Current opinion in supportive and palliative care

    2019  Volume 14, Issue 1, Page(s) 19–24

    Abstract: Purpose of review: The number of patients who die in the hospital in the Western world is high, and 20-30% of them are admitted to an ICU in the last month of life, including those in cardiac ICUs (CICUs) where invasive procedures are performed and ... ...

    Abstract Purpose of review: The number of patients who die in the hospital in the Western world is high, and 20-30% of them are admitted to an ICU in the last month of life, including those in cardiac ICUs (CICUs) where invasive procedures are performed and mortality is high. Palliative consultation is provided in only a few cases. The ethical and decisional aspects associated with the advanced stages of illness are very rarely discussed.
    Recent findings: The epidemiological and clinical landscape of CICUs has changed in the last decade; the incidence of acute coronary syndromes has decreased, whereas noncardiovascular diseases, comorbidities, the patients' age and clinical and therapeutic complexity have increased. The use of advanced and invasive treatments, such as mechanical ventilation, mechanical circulatory support and renal replacement therapies, has increased. This evolution increases the possibility of developing a life-threatening clinical event.
    Summary: This review aimed to analyze the main epidemiological, clinical, ethical and training aspects that can facilitate the introduction of supportive/palliative care programs in the CICU to improve symptom management during the advanced/terminal stages of illness, and address such issues as advance care planning, withdrawing/withholding life-sustaining treatments, deactivation of implantable defibrillators and palliative sedation.
    MeSH term(s) Advance Care Planning/organization & administration ; Age Factors ; Comorbidity ; Decision Making ; Heart Diseases/psychology ; Heart Diseases/therapy ; Humans ; Intensive Care Units/organization & administration ; Palliative Care/organization & administration ; Quality of Life ; Severity of Illness Index ; Terminal Care/organization & administration ; United States ; Withholding Treatment
    Language English
    Publishing date 2019-12-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2633726-5
    ISSN 1751-4266 ; 1751-4258
    ISSN (online) 1751-4266
    ISSN 1751-4258
    DOI 10.1097/SPC.0000000000000479
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6946: Show issues Location:
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