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Dyspnoea in Advanced DiseaseA guide to clinical management$
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Sara Booth and Deborah Dudgeon

Print publication date: 2005

Print ISBN-13: 9780198530039

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198530039.001.0001

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Surgical interventions to improve dyspnoea

Surgical interventions to improve dyspnoea

Chapter:
(p.157) 10 Surgical interventions to improve dyspnoea
Source:
Dyspnoea in Advanced Disease
Author(s):

Andrew J. Drain

Francis C. Wells

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198530039.003.0010

This chapter focuses on surgical interventions that alleviate or abolish dyspnoea. In general, surgical procedures are a careful balance of risks and benefits, but for advanced diseases in the chest, surgical interventions are usually seen as too invasive for patients with incurable disease. Surgical intervention in patients with advanced disease often induces distressing symptoms, the most frightening of which is dyspnoea. However, it is in these cases that aggressive palliative interventions yield the most gratifying results and may lessen or abolish dyspnoea. In this chapter the most common chest malignancies and the interventions that can be undertaken to reduce dyspnoea are examined. Some of the chest diseases discussed are: pulmonary sepsis, pericardial disease, and oesophageal carcinoma. The chapter also looks at some non-malignant diseases such as emphysema and pulmonary hypertension. Among the surgical interventions discussed are: stenting, palliative surgical resection, and surgical bypass.

Keywords:   surgical interventions, alleviate dyspnoea, abolish dyspnoea, surgical procedures, aggressive palliative interventions, chest malignancies, pulmonary sepsis, pericardial disease, oesophageal carcinoma, non-malignant diseases

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