Wednesday 30 March 2016

Patient-controlled therapy of breathlessness in palliative care: a new therapeutic concept for opioid administration?

Journal of pain and symptom management, Mar 2016, vol. 51, no. 3, p. 581-588
Schmitz, Andrea, Schulz, Christian, Friebel, Uta, Hohlfeld, Thomas, Bausewein, Claudia

Often, severity of breathlessness increases quickly, calling for rapid symptom control.  The aim of this pilot study was to investigate whether intravenous opioid PCT can be an effective therapeutic method to reduce breathlessness in patients with advanced disease. Secondary aims were to study its feasibility and acceptance in patients with refractory breathlessness.  The authors conclude that opioid PCT is a feasible and acceptable therapeutic method to reduce refractory breathlessness in palliative care patients.