Update on combined modalities for the management of breathlessness
| Autor: | Katri Elina Clemens, Eduardo Bruera, Markus Faust |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Critical Care and Intensive Care Medicine law.invention Randomized controlled trial Adrenal Cortex Hormones law Advanced disease Humans Medicine Combined Treatment Modalities Modalities Oncology (nursing) business.industry Symptom management Palliative Care Oxygen Inhalation Therapy Treatment options General Medicine respiratory system Combined Modality Therapy Analgesics Opioid Clinical trial Dyspnea Anti-Anxiety Agents Oncology Physical therapy business |
| Zdroj: | Current Opinion in Supportive & Palliative Care. 6:163-167 |
| ISSN: | 1751-4258 |
| DOI: | 10.1097/spc.0b013e3283530fee |
| Popis: | PURPOSE OF REVIEW Breathlessness is a symptom which is felt as shortness of breath or tightness in the chest. The symptom of breathlessness is essentially an awareness of difficult respiration; in other words, respiration becomes an effort. The increase due to pathological change supplements the effect of exercise. In this article, the combined modalities of palliative management of breathlessness are discussed on the basis of current literature (published and indexed in PubMed from January 2009 to week 1 in January 2012). The findings were used to derive a treatment algorithm for the management of dyspnoea. RECENT FINDINGS The findings in the recently published literature with treatment recommendations for the management of breathlessness were scarce. Although there are multiple clinical trials regarding treatment of breathlessness, there is a paucity of well designed, prospective, randomized controlled trials with large enough numbers of patients suffering from breathlessness and treated with combined pharmacological and nonpharmacological methods. SUMMARY As yet, there is no clinical trial that can accurately reflect the far-reaching effects of combined treatment modalities of breathlessness. Therefore, at present, we would recommend combining a treatment with opioids, anxiolytics and corticosteroids accompanied by oxygen and physiotherapeutic treatment options. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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