Nonpharmacological management of dyspnea

Current Opinion in Supportive and Palliative Care

Volumn 3, Issue 2, 2009, Pages 98-102

  Buckholz, Gary T ^a   Gunten, Charles F Von ^a  

^a Institute for Palliative Medicine at San Diego Hospice   (United States)

Author keywords

Breathlessness; Dyspnea; Management; Nonpharmacological

Indexed keywords

AFFECT; ANXIETY; ARTICLE; CASE MANAGEMENT; CHRONIC OBSTRUCTIVE LUNG DISEASE; COGNITION; DYSPNEA; HUMAN; PSYCHOLOGICAL ASPECT; PSYCHOPHYSIOLOGY;

AFFECT; ANXIETY; CASE MANAGEMENT; COGNITION; DYSPNEA; HUMANS; PSYCHOPHYSIOLOGY; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE;

EID: 67651219035     PISSN: 17514258     EISSN: 17514266     Source Type: Journal    
DOI: 10.1097/SPC.0b013e32832b725e     Document Type: Article

References (54)

1. von Gunten CF. Interventions to manage symptoms at the end of life. J Palliat Med 2005;8 (Suppl 1) :S88-S94.
2. Reuben DB, Mor V. Dyspnea in terminally ill cancer patients. Chest 1986;89:234-236.
3. Lacasse Y, Goldstein R, Lasserson TJ, Martin S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2006:CD003793.
4. Rabow MW, Dibble SL, Pantilat SZ, McPhee SJ. The comprehensive care team: a controlled trial of outpatient palliative medicine consultation. Arch Intern Med 2004;164:83-91.
5. Puhan MA, Schunemann HJ, Frey M, et al. How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax 2005;60:367-375.
6. Rossi G, Florini F, Romagnoli M, et al. Length and clinical effectiveness of pulmonary rehabilitation in outpatients with chronic airway obstruction. Chest 2005;127:105-109.
7. Vivodtzev I, Pepin JL, Vottero G, et al. Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of electrical stimulation in severely deconditioned and malnourished COPD. Chest 2006;129:1540-1548.
8. Harver A, Mahler DA, Daubenspeck JA. Targeted inspiratory muscle training improves respiratory muscle function and reduces dyspnea in patients with chronic obstructive pulmonary disease. Ann Intern Med 1989;111:117-124.
9. Lisboa C, Munoz V, Beroiza T, et al. Inspiratory muscle training in chronic airflow limitation: comparison of two different training loads with a threshold device. Eur Respir J 1994;7:1266-1274.
10. Koppers RJ, Vos PJ, Folgering HT. Tube breathing as a new potential method to perform respiratory muscle training: safety in healthy volunteers. Respir Med 2006;100:714-720.
11. Fujie T, Tojo N, Inase N, et al. Effect of chest wall vibration on dyspnea during exercise in chronic obstructive pulmonary disease. Respir Physiol Neurobiol 2002;130:305-316.
12. Nakayama H, Shibuya M, Yamada M, et al. In-phase chest wall vibration decreases dyspnea during arm elevation in chronic obstructive pulmonary disease patients. Intern Med 1998;37:831-835.
13. Lange DJ, Lechtzin N, Davey C, et al. High-frequency chest wall oscillation in ALS: an exploratory randomized, controlled trial. Neurology 2006;67:991-997.
14. Bloch-Salisbury E, Binks AP, Banzett RB, Schwartzstein RM. Mechanical chest-wall vibration does not relieve air hunger. Respir Physiol Neurobiol 2003;134:177-190.
15. Killian KJ. Sense of effort and dyspnoea. Monaldi Arch Chest Dis 1998;53:654-660.
16. Sharp JT, Drutz WS, Moisan T, et al. Postural relief of dyspnea in severe chronic obstructive pulmonary disease. Am Rev Respir Dis 1980;122:201-211.
17. Probst VS, Troosters T, Coosemans I, et al. Mechanisms of improvement in exercise capacity using a rollator in patients with COPD. Chest 2004;126:1102-1107.
18. Crisafulli E, Costi S, De Blasio F, et al. Effects of a walking aid in COPD patients receiving oxygen therapy. Chest 2007;131:1068-1074. This study provides good support to recommend this very low-cost, practical therapy.
19. Vitacca M, Clini E, Bianchi L, Ambrosino N. Acute effects of deep diaphragmatic breathing in COPD patients with chronic respiratory insufficiency. Eur Respir J 1998;11:408-415.
20. Breslin EH. The pattern of respiratory muscle recruitment during pursed-lip breathing. Chest 1992;101:75-78.
21. Gigliotti F, Romagnoli I, Scano G. Breathing retraining and exercise conditioning in patients with chronic obstructive pulmonary disease (COPD) : a physiological approach. Respir Med 2003;97:197-204.
22. Gosselink RA, Wagenaar RC, Rijswijk H, et al. Diaphragmatic breathing reduces efficiency of breathing in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1995;151:1136-1142.
23. Burgess KR, Whitelaw WA. Effects of nasal cold receptors on pattern of breathing. J Appl Physiol 1988;64:371-376.
24. Schwartzstein RM, Lahive K, Pope A, et al. Cold facial stimulation reduces breathlessness induced in normal subjects. Am Rev Respir Dis 1987;136:58-61.
25. Bruera E, Sweeney C, Willey J, et al. A randomized controlled trial of supplemental oxygen versus air in cancer patients with dyspnea. Palliat Med 2003;17:659-663.
26. Standish LJ, Kozak L, Congdon S. Acupuncture is underutilized in hospice and palliative medicine. Am J Hosp Palliat Care 2008;25:298-308.
27. Webb M, Moody LE, Mason LA. Dyspnea assessment and management in hospice patients with pulmonary disorders. Am J Hosp Palliat Care 2000;17:259-264.
28. Bausewein C, Booth S, Gysels M, Higginson I. Nonpharmacological inter- ventions for breathlessness in advanced stages of malignant and nonmalignant diseases. Cochrane Database Syst Rev 2008:CD005623. An excellent review in which some good pilot studies were left out because of exclusion criteria.
29. Maa SH, Gauthier D, Turner M. Acupressure as an adjunct to a pulmonary rehabilitation program. J Cardiopulm Rehabil 1997;17:268-276.
30. Maa SH, Sun MF, Hsu KH, et al. Effect of acupuncture or acupressure on quality of life of patients with chronic obstructive asthma: a pilot study. J Altern Complement Med 2003;9:659-670.
31. Cai B, Zhu Y, Ma Y, et al. Effect of supplementing a high-fat, low-carbohydrate enteral formula in COPD patients. Nutrition 2003;19:229-232.
32. Ferreira IM, Brooks D, Lacasse Y, et al. Nutritional supplementation for stable chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2005:CD000998.
33. Clini E, Sturani C, Rossi A, et al. The Italian multicentre study on noninvasive ventilation in chronic obstructive pulmonary disease patients. Eur Respir J 2002;20:529-538.
34. Cuomo A, Delmastro M, Ceriana P, et al. Noninvasive mechanical ventilation as a palliative treatment of acute respiratory failure in patients with end-stage solid cancer. Palliat Med 2004;18:602-610.
35. Mustfa N, Walsh E, Bryant V, et al. The effect of noninvasive ventilation on ALS patients and their caregivers. Neurology 2006;66:1211-1217.
36. Thomas JR, von Gunten CF. Management of dyspnea. J Support Oncol 2003;1:23-34.
37. Evans KC, Banzett RB, Adams L, et al. BOLD fMRI identifies limbic, paralimbic, and cerebellar activation during air hunger. J Neurophysiol 2002;88:1500-1511.
38. Peiffer C, Poline JB, Thivard L, et al. Neural substrates for the perception of acutely induced dyspnea. Am J Respir Crit Care Med 2001;163:951-957.
39. Banzett RB, Mulnier HE, Murphy K, et al. Breathlessness in humans activates insular cortex. Neuroreport 2000;11:2117-2120.
40. Belman MJ, Mohsenifar Z. Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. Am Rev Respir Dis 1991;144:1220-1221.
41. Moore S, Corner J, Haviland J, et al. Nurse led follow up and conventional medical follow up in management of patients with lung cancer: randomised trial. BMJ 2002;325:1145.
42. Hately J, Laurence V, Scott A, et al. Breathlessness clinics within specialist palliative care settings can improve the quality of life and functional capacity of patients with lung cancer. Palliat Med 2003;17:410-417.
43. Bredin M, Corner J, Krishnasamy M, et al. Multicentre randomised controlled trial of nursing intervention for breathlessness in patients with lung cancer. BMJ 1999;318:901-904.
44. Yu DS, Lee DT, Woo J. Effects of relaxation therapy on psychologic distress and symptom status in older Chinese patients with heart failure. J Psychosom Res 2007;62:427-437.
45. Renfroe KL. Effect of progressive relaxation on dyspnea and state anxiety in patients with chronic obstructive pulmonary disease. Heart Lung 1988;17:408-413.
46. Gift AG, Moore T, Soeken K. Relaxation to reduce dyspnea and anxiety in COPD patients. Nurs Res 1992;41:242-246.
47. Louie SW. The effects of guided imagery relaxation in people with COPD. Occup Ther Int 2004;11:145-159.
48. Moody LE, Fraser M, Yarandi H. Effects of guided imagery in patients with chronic bronchitis and emphysema. Clin Nurs Res 1993;2:478-486.
49. Dubois JM, Bartter T, Pratter MR. Music improves patient comfort level during outpatient bronchoscopy. Chest 1995;108:129-130.
50. Brooks D, Sidani S, Graydon J, et al. Evaluating the effects of music on dyspnea during exercise in individuals with chronic obstructive pulmonary disease: a pilot study. Rehabil Nurs 2003;28:192-196.
51. McBride S, Graydon J, Sidani S, Hall L. The therapeutic use of music for dyspnea and anxiety in patients with COPD who live at home. J Holist Nurs 1999;17:229-250.
52. Pfister T, Berrol C, Caplan C. Effects of music on exercise and perceived symptoms in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil 1998;18:228-232.
53. Rosser R, Denford J, Heslop A, et al. Breathlessness and psychiatric morbidity in chronic bronchitis and emphysema: a study of psychotherapeutic management. Psychol Med 1983;13:93-110.
54. Eiser N, West C, Evans S, et al. Effects of psychotherapy in moderately severe COPD: a pilot study. Eur Respir J 1997;10:1581-1584.