The Use of Continuous Positive Airway Pressure CPAP Ventilation in the Palliative Management of Stridor in a Head and Neck Cancer Patient
Upper airway obstruction and stridor are common symptoms faced by Head and Neck Cancer patients. Progression of cancers of the head and neck region often result in an audible stridor when the primary tumor occupies an already anatomically restricted space in the upper airway. Management of upper airway obstruction includes non-pharmacological maneuvers such as head tilt, chin lift and jaw thrust 1. Pharmacological measures are usually limited to the relief of symptoms associated with the airway obstruction such as breathlessness and stridor.
This study evaluates whether patient education and individually self ‐care reduces pain and improves QoL, mood and sleep during and after radiotherapy treatment for patients with head and neck cancer.DesignA longitudinal, two ‐armed feasibility study design was performed.MethodsSixty ‐four participants with curative intent were included in the study. All participants answered questions about pain three times a week and completed a survey questionnaire about pain, QoL, psychological aspects and barriers towards pain management at baseline, at 4 weeks and at 10 weeks. Thirty‐ four of the participants attend...
Conclusion Improvement of QOL of patients with head and neck cancer is a long process, which is associated with the clinical and demographic characteristics of patients. Implications for Practice Focusing nursing practice on shoulder and neck function rehabilitation, incision care, and pain management could positively affect QOL among patients with head and neck cancer treated by surgery.
CONCLUSION: StrataXRT® is effective for preventing, and delaying the development of grade 2 and 3 skin toxicity. TRIAL REGISTRATION: ACTRN12616000511437. PMID: 31445838 [PubMed - as supplied by publisher]
Enhanced recovery after surgery (ERAS), or fast-track surgery, was described almost 20 years ago as a peri- and postoperative care concept with the aim of achieving a pain- and risk-free operation.1 Postoperative recovery has been improved by shortening the hospital stay and reducing medical complications without increasing the risk of surgery-related complications and readmissions. 1 It has been well established that enhanced recovery programs (ERPs) can be superior to conventional care for a wide range of surgical procedures, including microsurgical reconstructive procedures, with substantial economic benefits.
Enhanced recovery after surgery (ERAS), or fast-track surgery, was described almost 20 years ago1 as a peri- and postoperative care concept with the aim of achieving “the pain and risk-free operation”. Post-operative recovery is improved by shortening hospital stay and reducing medical complications without increasing the risk of surgery-related complications and readmissions.1
Purpose of review Pain is one of the most feared and most common symptoms of cancer, experienced by 38–85% of patients. Pain in terminally ill cancer patients is a multidimensional experience caused by a diverse array of factors – cancer itself, its treatment or other causes. Studies have shown a high incidence of myofascial pain syndrome (MPS) in patients with cancer and the knowledge of myofascial trigger points (MTrPs) is important to address and manage existing pain, and to prevent the recurrence of pain. This review aims to summarize recent advances in interventions for managing MPS in patients with canc...
CONCLUSION: Our data supported that physical domains of pre-treatment QoL were predictors for OS and DFMS in HNC patients with free-flap reconstruction. Longitudinal studies are warranted to clarify the prognostic abilities of social-emotional domains. Information on pre-treatment QoL should be taken into account to individualize care plan for these patients, and hence prolong their survival. PMID: 31358241 [PubMed - in process]
Laser, other light tx recommended for patients treated with HSCT; head and neck RT with, without chemo
We read with interest the paper by Lee et al reporting the use of continuous positive airway pressure (CPAP) as a means of non-invasive ventilation in the palliative management of stridor at the end of life in a patient with head and neck cancer.1
Authors: Chatterjee A, Nimje G, Jain PN Abstract The study aimed to identify patterns of patient referral from oncology services, including pain severity, prior analgesics, impact of patient's literacy on referral, and adequacy of pain relief offered by the pain clinic. A retrospective analysis of pain clinic data from August 2014 to February 2015 at the Tata Memorial Hospital was carried out, wherein adult cancer patients referred for the first time to the pain clinic were included. Two thousand patients were included: 38.1% of the referred were at pretreatment stage, 28.8% advanced. Most referrals were from head ...