Search results for "Death rattle"

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How do cancer patients receiving palliative care at home die? A descriptive study

2011

Abstract Context Data regarding the circumstances of the process of death of terminally ill patients followed at home are lacking. Objectives The aim of this study was to describe the characteristics and assess the circumstances of the process of death of terminally ill patients followed at home. Methods This was a prospective survey to assess the dying process of advanced cancer patients followed at home. Within a week after death, the principal caregiver was interviewed. Information from the palliative home care team and the caregiver about expectation of death, time of death, professional and nonprofessional people present at time of death, emergency admission to hospital, and administra…

Malecancer patientResuscitationmedicine.medical_specialtyPalliative careterminally ill patientsMEDLINEHome palliative careSettore MED/42 - Igiene Generale E ApplicataSocial classdeathCause of DeathNeoplasmsPhysicians80 and overMedicineHumansDeath rattleProspective StudiesProspective cohort studyGeneral NursingNursing (all)2901 Nursing (miscellaneous)Cause of deathAgedAged 80 and overTerminal Carebusiness.industrypalliative home carePalliative Caredeath; Home palliative care; terminally ill patients; Aged; Aged 80 and over; Cause of Death; Female; Home Care Services; Humans; Italy; Male; Middle Aged; Neoplasms; Palliative Care; Physicians; Prospective Studies; Social Class; Terminal Care; Anesthesiology and Pain Medicine; Neurology (clinical); Nursing (all)2901 Nursing (miscellaneous)CancerMiddle Agedmedicine.diseaseHome Care ServicesAnesthesiology and Pain MedicineItalySocial Classdescriptive study.Emergency medicineFemaleMedical emergencyNeurology (clinical)medicine.symptombusiness
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Refractory Death Rattle: Deep Aspiration Facilitates the Effects of Antisecretory Agents

2011

Anticholinergic drugs, including atropine, hyoscine butylbromide, and scopolamine, have been shown to be equally effective in the treatment of death rattle. However, anticholinergic drugs may only be effective in reducing the production of further secretions, rather than eliminating the existing ones. A case is described in which a preventive procedure was undertaken to carefully eliminate secretions before starting anticholinergic drugs. Airway aspiration under light anesthesia removed secretions before starting anticholinergic drugs. Low doses of propofol were given intravenously to make a laryngoscopy feasible, allowing the complete aspiration of large amounts of tracheal secretions. No …

medicine.medical_specialtyLung NeoplasmsLaryngoscopyPainCholinergic AntagonistsFatal OutcomeRefractoryIntervention (counseling)Administration InhalationmedicineHumansDeath rattleIntensive care medicineGeneral NursingAgedRespiratory SoundsRetrospective StudiesTerminal Caremedicine.diagnostic_testbusiness.industryAntisecretory agentsPharyngeal DiseasesDeathAtropineDyspneaAnesthesiology and Pain MedicineAnesthesiaRespiratory MechanicsFemaleNeurology (clinical)medicine.symptomPropofolbusinessAirwaymedicine.drugJournal of Pain and Symptom Management
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