Skip to main content
SpringerLink
Log in

Dyspnoe bei Kindern und Jugendlichen in der Palliativphase

Dyspnea in children and adolescents in the palliative phase

  • Leitthema: Palliativmedizin
  • Published:
Monatsschrift Kinderheilkunde Aims and scope Submit manuscript

Zusammenfassung

Die Atemnot gehört zu am meisten belastenden und am häufigsten auftretenden Symptomen in der Palliativphase von Kindern und Jugendlichen. Der vorliegende Artikel fasst die Datenlage in der medikamentösen und supportiven Therapie der Dyspnoe in der Kinderpalliativmedizin zusammen und formuliert Empfehlungen zur Behandlung dieses Symptoms.

Abstract

Dyspnea is amongst the most distressing and common symptoms in paediatric palliative care. This article analyses paediatric data on supportive and drug treatment of dyspnea in palliative care and provides treatment recommendations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1

Literatur

  1. Ahmedzai S (1993) Palliation of respiratory symptoms. In: Doyle D, Hanks G, MacDonald N (eds) Oxford textbook of palliative medicine. Oxford University Press, Oxford, pp 349–378

  2. Allard P, Lamontagne C, Bernard P et al. (1999) How effective are supplementary doses of opioids for dyspnea in terminally ill cancer patients? A randomized continuous sequential clinical trial. J Pain Symptom Manage 17:256–265

    CAS  PubMed  Google Scholar 

  3. Booth S, Kelly MJ, Cox NP et al. (1996) Does oxygen help dyspnea in patients with cancer? Am J Respir Crit Care Med 153:1515–1518

    CAS  PubMed  Google Scholar 

  4. Bruera E, Neumann CM (1998) Management of specific symptom complexes in patients receiving palliative care. J Can Med Assoc 158:1717–1726

    CAS  Google Scholar 

  5. Bruera E (1993) Effects of oxygen on dyspnoea in hypoxaemic terminal-cancer patients. Lancet 342:13–14

    CAS  PubMed  Google Scholar 

  6. Bruera E (1993) Subcutaneous morphine for dyspnoea in cancer patients. Ann Intern Med 119:906–907

    CAS  PubMed  Google Scholar 

  7. Bruera E (1990) Effects of morphine on the dyspnea of terminal cancer patients. J Pain Symptom Manage 5:341–344

    CAS  PubMed  Google Scholar 

  8. Cohen SP, Dawson TC (2002) Nebulized morphine as a treatment for dyspnea in a child with cystic fibrosis. Pediatrics 110:e38

    PubMed  Google Scholar 

  9. Davis C (1994) The therapeutics of dyspnea. Cancer Surv 21:85–98

    CAS  PubMed  Google Scholar 

  10. Duval M, Wood C (2002) Traitement des symptômes non douloureux chez l’enfant en fin de vie. Arch Pediatr 9:1173–1178

    Article  CAS  PubMed  Google Scholar 

  11. Farncombe M (1994) The use of nebulized morphine for breathlessness: a chart review. Palliat Med 8:306–312

    CAS  PubMed  Google Scholar 

  12. Farncombe M (1993) Case studies outlining use of nebulized morphine for patients with end-stage chronic lung and cardiac disease. J Pain Symptom Manage 8:221–225

    CAS  PubMed  Google Scholar 

  13. Friedrichsdorf S, Zernikow B (2002) Tumorschmerztherapie — Pädiatrische Palliativmedizin. Focus Onkol 3:60–65

    Google Scholar 

  14. Friedrichsdorf S, Brun S, Zernikow B (2002) Das Warschauer Kinderhospiz — Beispiel einer umfassenden pädiatrischen palliativen Versorgung. Z Palliativmed 3:60–64

    Google Scholar 

  15. Goldmann A (2000) Symptoms and suffering at the end of life in children with cancer — correspondence. N Engl J Med 342:1997–1999

    Article  Google Scholar 

  16. Klaschik E (2003) Schmerztherapie und Symptomkontrolle in der Palliativmedizin. In: Husebø S, Klaschik E (Hrsg) Palliativmedizin, 3. Aufl. Springer, Berlin Heidelberg New York, S 181–287

  17. Lipmann AG, Jackson II KC, Tylor LS (Hrsg) (2000) Evidence based symptom control in palliative care. Pharmaceutical Products Press, New York

  18. Wolfe J, Grier HE, Klar N et al. (2000) Symptoms and suffering at the end of life in children with cancer. N Engl J Med 342:326–333

    CAS  PubMed  Google Scholar 

Download references

Interessenkonflikt:

Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

Author information

Authors and Affiliations

  1. The Children’s Hospital at Westmead, Sydney, Australien

    S. Friedrichsdorf

  2. Vestische Kinder- und Jugendklinik, Universität Witten/Herdecke, Datteln

    S. Friedrichsdorf, C. Wamsler & B. Zernikow

  3. Institut für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Vestische Kinder- und Jugendklinik, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Straße 5, 45711, Datteln

    S. Friedrichsdorf

Authors
  1. S. Friedrichsdorf
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. Wamsler
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Zernikow
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Friedrichsdorf.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Friedrichsdorf, S., Wamsler, C. & Zernikow, B. Dyspnoe bei Kindern und Jugendlichen in der Palliativphase. Monatsschr Kinderheilkd 153, 531–537 (2005). https://doi.org/10.1007/s00112-005-1143-0

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00112-005-1143-0

Schlüsselwörter

Keywords

Search

Navigation