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Syringe driver in terminal care.

British Medical Journal (Clinical Research Ed.)

|February 28, 1987

Summary

This summary is machine-generated.

Continuous subcutaneous infusions using syringe drivers are effective for terminal care when oral medication is not possible. This method facilitates domiciliary care by overcoming challenges in providing regular parenteral analgesia.

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Area of Science:

Palliative Care
Pharmacology
Oncology

Background:

Parenteral drug administration is crucial for patients unable to take oral medications, especially in terminal care.
Syringe drivers offer a viable solution for continuous drug delivery.
Diamorphine is frequently used due to its solubility.

Purpose of the Study:

To highlight the utility of continuous subcutaneous infusions via syringe driver in terminal care.
To discuss the administration of adjunctive medications alongside opioids.
To emphasize the benefits for home-based palliative care.

Main Methods:

Utilizing continuous subcutaneous infusions (CSIs) via syringe driver pumps.
Administering diamorphine as the primary opioid.

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Co-administering other necessary medications like antiemetics, anticholinergics, sedatives, and steroids as needed.

Main Results:

Syringe driver infusions are frequently and successfully employed in terminal care.
This method allows for the administration of various drug classes beyond opioids.
It significantly simplifies parenteral analgesia delivery in domiciliary settings.

Conclusions:

Continuous subcutaneous infusions via syringe driver are a successful and practical method for managing symptoms in terminal illness.
The technique is particularly beneficial for home care, addressing challenges of regular parenteral medication delivery.
It enables comprehensive symptom management through co-administration of multiple drug types.