Transforming the management of the critically ill cancer patient: Teamwork, rapid response systems and quality of care.

In recent years, the paradigm of the critically ill onco-hematologic patient has shifted, driven by new therapies and organizational models that require individualized assessment. Early detection of clinical deterioration is essential and relies on tools such as NEWS2, Rapid Response Teams, and biomarkers, together with the integration of multidisciplinary meetings, which improve survival and optimize resource use. In the ICU, the main reasons for admission are respiratory failure, shock, organ failure, and sepsis. Early admission and dynamic reassessment of the support provided are crucial. Traditional scoring systems such as SOFA and APACHE II have limitations, prompting exploration of predictive models tailored to this population. Their care requires complex healthcare structures, highly specialized resources, and coordinated processes to ensure continuity and quality throughout all stages of treatment. In this context, the creation of multidisciplinary teams becomes a key element for shared decision-making and comprehensive management.