Polskie Archiwum Medycyny Wewnętrznej
-
Pol. Arch. Med. Wewn. · May 2010
Management of dyspnea in patients with advanced lung or heart disease: practical guidance from the American college of chest physicians consensus statement.
Patients with advanced lung or heart disease are not generally being treated consistently and effectively for relief of dyspnea. ⋯ There was consensus that: patients with advanced lung or heart disease should be asked about the intensity and distress of their breathlessness; pursed-lips breathing, relaxation, oxygen for those with hypoxemia, noninvasive positive pressure ventilation, and oral/parental opioids can provide relief of dyspnea; therapies should be started with the understanding that the patient and clinician will reassess whether the specific treatments are relieving dyspnea without causing adverse effects; and it is important to communicate about palliative and end-of-life care.