Author: Ambrosino, Nicolino; Casaburi, Richard; Chetta, Alfredo; Clini, Enrico; Donner, Claudio F.; Dreher, Michael; Goldstein, Roger; Jubran, Amal; Nici, Linda; Owen, Caroline A.; Rochester, Carolyn; Tobin, Martin J.; Vagheggini, Guido; Vitacca, Michele; ZuWallack, Richard
Title: 8(th) International conference on management and rehabilitation of chronic respiratory failure: the long summaries – Part 3 Document date: 2015_10_6
ID: 08fkra10_137
Snippet: More recent guidelines include the use of pharmacological treatment of dyspnoea. Nevertheless, despite the beneficial response and the safety of opiates in end stage lung disease has been demonstrated, the end-stage COPD patients receive far less opiates than cancer subjects to alleviate dyspnea [134] [135] [136] . Conversely, end-stage COPD patients undergo more hospital and ICU admissions than cancer patients, an evidence that some issues in ge.....
Document: More recent guidelines include the use of pharmacological treatment of dyspnoea. Nevertheless, despite the beneficial response and the safety of opiates in end stage lung disease has been demonstrated, the end-stage COPD patients receive far less opiates than cancer subjects to alleviate dyspnea [134] [135] [136] . Conversely, end-stage COPD patients undergo more hospital and ICU admissions than cancer patients, an evidence that some issues in general and medical culture prevent appropriate supportive and palliative care in non-cancer end-stage lung disease [137] . Also in amyothrophic lateral sclerosis (ALS) patients, a high rate of hospital death is reported, the place of death depending widely on the attitude of the hospital and resources availability of the environment, more than on patient's and families' preferences [138] .
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