Does the Use of a Handheld Fan Improve Chronic Dyspnea? A Randomized, Controlled, Crossover Trial

Journal of Pain and Symptom Management

Volumn 39, Issue 5, 2010, Pages 831-838

  Galbraith, Sarah ^a   Fagan, Petrea ^a   Perkins, Paul ^b,c   Lynch, Andrew ^d,e   Booth, Sara ^a  

^a ADDENBROOKE S HOSPITAL   (United Kingdom)

^b GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^c Sue Ryder Care Leckhampton Court Hospice ^*  (United Kingdom)

^d Cambridge Research Institute   (United Kingdom)

^e UNIVERSITY OF CAMBRIDGE   (United Kingdom)

Author keywords

Dyspnea; handheld fan; palliation

Indexed keywords

OPIATE; SEDATIVE AGENT; STEROID;

ADULT; AGED; ARTICLE; CHRONIC DISEASE; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROSSOVER PROCEDURE; DISEASE ASSOCIATION; DISEASE SEVERITY; DYSPNEA; FACE; FEMALE; HUMAN; LEG; MALE; PALLIATIVE THERAPY; PORTABLE EQUIPMENT; RANDOMIZED CONTROLLED TRIAL; RISK REDUCTION; SELF CONCEPT; TREATMENT RESPONSE; VISUAL ANALOG SCALE;

ACTIVITIES OF DAILY LIVING; ADULT; AGED; AGED, 80 AND OVER; CROSS-OVER STUDIES; DYSPNEA; FEMALE; HUMANS; MALE; MIDDLE AGED; PALLIATIVE CARE; PATIENT SELECTION; SELF CARE; TREATMENT OUTCOME;

EID: 77952299014     PISSN: 08853924     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpainsymman.2009.09.024     Document Type: Article

References (28)

1. Booth S., Silvester S., and Todd C. Breathlessness in cancer and chronic obstructive pulmonary disease: using a qualitative approach to describe the experience of patients and carers. Palliat Support Care 1 (2003) 337-344
2. Higginson I., and McCarthy M. Measuring symptoms in terminal cancer: are pain and dyspnea controlled?. J R Soc Med 82 (1989) 264-267
3. Edmonds P., Karlsen S., Khan S., and Addington-Hall J. A comparison of the palliative care needs of patients dying from chronic respiratory diseases and lung cancer. Palliat Med 15 (2001) 287-295
4. Muers M.F., and Round C.E. Palliation of symptoms in non-small cell lung cancer: a study by the Yorkshire Regional Cancer Organisation Thoracic Group. Thorax 48 (1993) 339-343
5. British Thoracic Society. Burden of lung disease. 2nd ed (2006), British Thoracic Society, London, UK
6. American Thoracic Society. Dyspnea: mechanisms, assessment and management: a consensus statement. Am J Respir Crit Care Med 159 (1999) 321-340
7. Kerr D. A bedside fan for terminal dyspnoea. Am J Hospice Care (1989) Nov/Dec: 22
8. Freeman D., and Price D. ABC of chronic obstructive pulmonary disease. Primary care and palliative care. BMJ 333 (2006) 188-190
9. Booth S. Improving research methodology in breathlessness-a meeting convened by the MRC Clinical Trials Unit and Cicely Saunders Foundation. Palliat Med 20 (2006) 219-220
10. Abernethy A., Currow D.C., and Frith P. Randomised, double blind, placebo controlled crossover trial of sustained release morphine for the management of refractory dyspnoea. BMJ 327 (2003) 523-528
11. Bruera E., MacEachern T., Ripamonte C., and Hanson J. Subcutaneous morphine for dyspnea in cancer patients. Ann Intern Med 119 (1993) 906-907
12. Schwartzstein R.M., Lahive K., Pope A., Weinberger S.E., and Weiss J.W. Cold facial stimulation reduces breathlessness induced in normal subjects. Am Rev Respir Dis 136 (1987) 58-61
13. Burdon J.G.W., Juniper E.F., Killian F.E., Hargreave F.E., and Campbell E.J.M. The perception of breathlessness in asthma. Am Rev Respir Dis 126 (1982) 825-828
14. Baltzan M., Alter A., Rotaple M., Kamel H., and Wolkove N. Fan to palliate exercise-induced dyspnea with severe COPD. [abstract]. Am J Respir Crit Care Med 161 Suppl 3 (2000) A59
15. Marchetti N., Travaline J.M., and Criner G.L. Air current applied to the face of COPD patients enhances leg ergometry performance. [abstract]. Am J Respir Crit Care Med 169 (2004) A773
16. Spence D.P., Graham D.R., Ahmed J., et al. Does cold air affect exercise capacity & dyspnoea in stable COPD?. Chest 103 (1993) 693-696
17. Wilcock A., Crosby V., Clarke D., and Tattersfield A. Repeatability of breathlessness measurements in cancer patients. [letter]. Thorax 54 (1999) 375
18. Gift A.G., and Narsavage G. Validity of the numeric rating scale as a measure of dyspnea. Am J Crit Care 7 (1998) 200-204
19. Grant S., Atchison T., Henderson E., et al. A comparison of the reproducibility and the sensitivity to change of visual analogue scales, Borg scales and Likert scales in normal subjects during submaximal exercise. Chest 116 (1999) 1208-1216
20. Jennings A.L., Davies A.N., Higgins J.P., Gibbs J.S., and Broadley K.E. A systematic review of the use of opioids in the management of dyspnoea. Thorax 57 (2002) 939-944
21. Bausewein C., Farquhar M., Booth S., Gysels M., and Higginson I.J. Measurement of breathlessness in advanced disease: a systematic review. Respir Med 101 (2007) 399-410
22. Morris N.R., Sabapathy S., Adams L., et al. Verbal rating scales are as reliable and sensitive as visual analogue scales for rating dyspnoea in young and older subjects. Respir Physiol Neurobiol 157 (2007) 360-365
23. Yorke J., Moosavi S.H., Shuldham C., and Jones P.W. Quantification of dyspnoea using descriptors: development and initial testing of the Dyspnoea-12. Thorax 65 (2010) 21-26
24. McBride B., and Whitelaw W.A. A physiological stimulus to upper airway receptors in humans. J Appl Physiol 51 (1981) 1189-1197
25. Folgering H., and Olivier O. The diving response depresses ventilation in man. Bull Eur Physiopathol Respir 21 (1985) 143-147
26. Liss H.P., and Grant J.B. The effect of nasal flow on breathlessness in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 137 (1988) 1285-1288
27. Simon P.M., Basner R.C., Weinberger S.E., et al. Oral mucosal stimulation modulates intensity of breathlessness induced in normal subjects. Am Rev Respir Dis 144 (1991) 419-422
28. Marchetti N, Criner GJ, Gaughan J, et al. Effect of air directed to the face on diaphragm electromyographic activity (EMGDia) during hypercapnic challenge [abstract]. Proceedings of the 100th Anniversary International Conference, American Thoracic Society, May 20-25, 2005, San Diego, CA, A789.