对于预后有限的各种晚期疾病的患者来说，及时整合姑息医疗是非常重要的。尽管德国有一份针对不可治愈癌症患者的姑息医疗指南，但截至目前，还没有关于非肿瘤患者尤其是姑息医疗在重症医学中的整合的建议。从2018年到2023年，十个德国医学协会在共识过程中就重症监护中的姑息医疗问题进行了讨论并形成了建议。根据德国共识文件，提出了关于姑息医疗方面在各个医学领域与重症监护相关的建议。这些建议部分涉及一般情况，但也涉及特定的问题或疾病，如老年护理问题、心脏或肺部疾病、脑病和谵妄、晚期肾脏疾病、肿瘤疾病和重症监护中的姑息紧急情况。措施包括非侵入性通气用于症状控制和有同情心的断奶等。将姑息医疗及时整合到重症医学中旨在改善生活质量和症状控制，并同时考虑到对高度紧张的患者家属的紧急支持。© 2023 BioMed Central Ltd., Springer Nature的一部分。

The timely integration of palliative care is important for patients suffering from various advanced diseases with limited prognosis. While a German S-3-guideline on palliative care exists for patients with incurable cancer, a recommendation for non-oncological patients and especially for integration of palliative care into intensive care medicine is missing to date.Ten German medical societies worked on recommendations on palliative care aspects in intensive care in a consensus process from 2018 to 2023.Based on the german consensus paper, the palliative care aspects of the respective medical disciplines concerning intensive care are addressed. The recommendations partly refer to general situations, but also to specific aspects or diseases, such as geriatric issues, heart or lung diseases, encephalopathies and delirium, terminal renal diseases, oncological diseases and palliative emergencies in intensive care medicine. Measures such as non-invasive ventilation for symptom control and compassionate weaning are also included.The timely integration of palliative care into intensive care medicine aims to improve quality of life and symptom control and also takes into acccount the often urgently needed support for patients' highly stressed relatives.© 2023. BioMed Central Ltd., part of Springer Nature.