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[Dyspnea in lung cancer]
A Bonnichon1, H Le Floch, F Rivière
1Service des Maladies Respiratoires, Hôpital d'Instruction des Armées Percy, 101 Avenue Henri-Barbusse, 92140 Clamart, France. abpy@free.fr
Revue De Pneumologie Clinique
|July 1, 2008
Summary
Dyspnea, or difficult breathing, is common in lung cancer and impacts quality of life. Effective management requires diagnosing the cause and considering treatments like morphine or benzodiazepines.
Area of Science:
- Pulmonology
- Oncology
- Palliative Care
Context:
- Dyspnea is a prevalent and distressing symptom in lung cancer patients.
- The underlying pathophysiology of dyspnea in this population is not fully understood.
- Dyspnea significantly impairs patients' quality of life.
Purpose:
- To review the causes, assessment, and management of dyspnea in lung cancer.
- To highlight effective therapeutic strategies for managing this challenging symptom.
Summary:
- Dyspnea in lung cancer arises from the malignancy itself, treatments, or comorbidities.
- Visual analogue and verbal rating scales are recommended for intensity evaluation.
- Non-pharmacologic measures are primary, with morphine recommended for naive patients.
- Benzodiazepines may be considered in palliative, uncontrolled cases.
Impact:
- Provides a framework for diagnosing and managing dyspnea in lung cancer.
- Emphasizes the importance of a rational, non-invasive diagnostic approach.
- Offers guidance on pharmacologic and non-pharmacologic interventions, including palliative options.
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