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2018, Number 4

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Rev Mex Anest 2018; 41 (4)

Latin American Guide of Clinical Practice for the treatment of massive hemorrhage in palliative patients in terminal situation

Covarrubias-Gómez A, Otero-Lamas M, Templos-Esteban LA, Mutto EM, Mariaca-Ramírez M, García JBS, Rodríguez-Núñez A, Gomezese O, Vargas-Bermúdez A, Hinojosa M, López-Saca M, Ramos-Del Cid Z, Velásquez T, Riveros M, Garibaldo MJ, Camacho G, Martínez B, Sejías ME

Language: Spanish
References: 39
Page: 301-311
PDF size: 303.58 Kb.


ABSTRACT

Background: Palliative care in Latin America is developing heterogeneously. This inequality makes it necessary to establish groups that would provide accessible information to doctors in Latin America. Considering the last days of life there are medical situations that may require urgent attention. Among the emergencies at the end of life we identify that «lethal hemorrhage» was the most reported. Material and methods: Given the importance of «lethal hemorrhage» as a medical emergency in the last hours of life, we set the objective to investigate the available medical literature on the subject. To search we used the PubMed search engine. The identified documents were downloaded and shared by two researchers. This information was summarized and presented to a group of prominent and proven Latin American experts on palliative medicine (DOSS Group). Results: As described in the methodology we identified 34 documents with different levels of evidence. We had access to 27 documents. The information obtained from them is presented in the form of a clinical practice guide. Conclusions: Several authors consider massive hemorrhage as a palliative emergency. Its occurrence may even require end-of-life sedation. It is necessary that clinicians have information that may help their decision making for the management of this medical condition.


REFERENCES

  1. Twycross RG, Wilcock A. Introducing palliative care. 5th ed. Reino Unido. Nottingham Palliativedrugs.com. 2016, p. 123.

  2. Schrijvers D, Van Fraeyenhove F. Emergencies in palliative care. Cancer J. 2010;16:514-520.

  3. [SECPAL]. Guía de Cuidados Paliativos. 2014. España. SECPAL. [Acceso Octubre, 2017] Disponible en: http://www.secpal.com/guia-cuidados-paliativos-1#DescargarDoc

  4. Smith AM. Emergencies in palliative care. Ann Acad Med Singapore. 1994;23:186-190.

  5. Bruera E, Higginson I, von Gunten C, Morita T. Textbook of palliative medicine. EUA. CRC Press. 2015, p. 1358.

  6. [DOF]. Acuerdo por el que el Consejo de Salubridad General declara la obligatoriedad de los esquemas de manejo integral de cuidados paliativos, así como los procesos señalados en la guía del manejo integral de cuidados paliativos. 2014. México. Diario Oficial de la Federación publicado en el día 26 de diciembre de 2014.

  7. Harris DG, Noble SI. Management of terminal hemorrhage in patients with advanced cancer: a systematic literature review. J Pain Symptom Manage. 2009;38:913-927.

  8. Back IN. Palliative medicine handbook. 3rd ed. Reino Unido. BPM Books. 2001, p. 295.

  9. Guevara-Lopez U, Covarrubias-Gomez A. Chapter 44: Setting up Guidelines for Local Requirements. En: Kopf A, Patel NB. Guide to pain management in low-resource settings. EUA. IASP Press. 2015, p. 330.

  10. Tardy B, Picard S, Guirimand F, Chapelle C, Danel DM, Celarier T, et al. Bleeding risk of terminally ill patients hospitalized in palliative care units: the RHESO study. J Thromb Haemost. 2017;15:420-428.

  11. Simmons BB, Parks SM. Intracerebral hemorrhage for the palliative care provider: what you need to know. J Palliat Med. 2008;11:1336-1339.

  12. Guevara-López U, Lille-Fuentes RM. Medicina del dolor y paliativa. 2a ed. México. Editorial Corinter. 2008, p. 863.

  13. Doyle D, Hanks G, Cherny N, Calman K. Oxford textbook of palliative medicine. 3rd ed. Reino Unido. Oxford University Press. 2005, p. 1280.

  14. Osio-Saldaña M, Covarrubias-Gómez A. Atención paliativa al final de la vida. México. Editorial Corinter. 2015, p. 445.

  15. Ubogagu E, Harris DG. Guideline for the management of terminal haemorrhage in palliative care patients with advanced cancer discharged home for end-of-life care. BMJ Support Palliat Care. 2012;2:294-300.

  16. Prommer E. Management of bleeding in the terminally ill patient. Hematology. 2005;10:167-175.

  17. Sesterhenn AM, Iwinska-Zelder J, Dalchow CV, Bien S, Werner JA. Acute haemorrhage in patients with advanced head and neck cancer: value of endovascular therapy as palliative treatment option. J Laryngol Otol. 2006;120:117-124.

  18. Shan M, Lu Z, Guo Q, Liu Z, Zhang J, Wen F. Self-expanding metal stents for palliative treatment of esophageal carcinoma: risk factors for fatal massive bleeding. J Clin Gastroenterol. 2012;46:758-763.

  19. Murthy SB, Moradiya Y, Hanley DF, Ziai WC. Palliative Care Utilization in Nontraumatic Intracerebral Hemorrhage in the United States. Crit Care Med. 2016;44:575-582.

  20. Choi HA, Fernandez A, Jeon SB, Schmidt JM, Connolly ES, Mayer SA, et al. Ethnic disparities in end-of-life care after subarachnoid hemorrhage. Neurocrit Care. 2015;22:423-428.

  21. Fisch MJ, Bruera E. Handbook of advanced cancer care. Cambridge U.K. University Press. Reino Unido. Cambridge University Press. 2003, p. 416.

  22. Eleje GU, Eke AC, Igberase GO, Igwegbe AO, Eleje LI. Palliative interventions for controlling vaginal bleeding in advanced cervical cancer. Cochrane Database Syst Rev. 2015;5:CD011000.

  23. Selby D, Jackson LD. Octreotide for control of bleeding peristomal varices in palliative care. J Pain Symptom Manage. 2015;49:e2-4.

  24. Pereira J, Phan T. Management of bleeding in patients with advanced cancer. Oncologist. 2004;9:561-570.

  25. Schneider JJ, Shroff S, Moser AJ. Palliative segmental duodenectomy for bleeding, erosive endometrial cancer. Gynecol Oncol. 2005;97:246-248.

  26. Timon C, Reilly K. Head and neck mucosal squamous cell carcinoma: results of palliative management. J Laryngol Otol. 2006;120:389-392.

  27. Yang TC, Li JG, Shi HM, Yu DM, Shan K, Li LX, et al. Gastrointestinal bleeding after intracerebral hemorrhage: a retrospective review of 808 cases. Am J Med Sci. 2013;346:279-282.

  28. Sittel C, Gossmann A, Jungehülsing M, Zähringer M. Superselective embolization as palliative treatment of recurrent hemorrhage in advanced carcinoma of the head and neck. Ann Otol Rhinol Laryngol. 2001;110:1126-1128.

  29. Hashimoto K, Mayahara H, Takashima A, Nakajima TE, Kato K, Hamaguchi T, et al. Palliative radiation therapy for hemorrhage of unresectable gastric cancer: a single institute experience. J Cancer Res Clin Oncol. 2009;135:1117-1123.

  30. Asakura H, Hashimoto T, Harada H, Mizumoto M, Furutani K, Hasuike N, et al. Palliative radiotherapy for bleeding from advanced gastric cancer: is a schedule of 30 Gy in 10 fractions adequate? J Cancer Res Clin Oncol. 2011;137:125-130.

  31. Kondoh C, Shitara K, Nomura M, Takahari D, Ura T, Tachibana H, et al. Efficacy of palliative radiotherapy for gastric bleeding in patients with unresectable advanced gastric cancer: a retrospective cohort study. BMC Palliat Care. 2015;14:37.

  32. Kawabata H, Uno K, Yasuda K, Yamashita M. Experience of low-dose, short-course palliative radiotherapy for bleeding from unresectable gastric cancer. J Palliat Med. 2017;20:177-180.

  33. Lee YH, Lee JW, Jang HS. Palliative external beam radiotherapy for the treatment of tumor bleeding in inoperable advanced gastric cancer. BMC Cancer. 2017;17:541.

  34. [SECPAL]. Guía de de sedación paliativa. 2014. España. SECPAL. [Acceso Octubre, 2017] Disponible en: http://www.secpal.com/%5CDocumentos%5CBlog%5Cguia-de-sedacion.pdf

  35. Roberts SB, Coyne PJ, Smith TJ, Lyckholm LJ. Palliative use of aminocaproic acid to control upper gastrointestinal bleeding. J Pain Symptom Manage. 2010;40:e1-3.

  36. Geist MJP, Kessler J, Frankenhauser S, Bardenheuer HJ. Bleeding control in palliative care patients with the help of tranexamic acid. J Palliat Care. 2017;32:47-48.

  37. Smith AM. Emergencies in palliative care. Ann Acad Med Singapore. 1994;23:186-190.

  38. Cherny NI, Radbruch L. Board of the European Association for Palliative Care: European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care. Palliat Med. 2009;23:581-593.

  39. Covarrubias-Gomez A, López-Collada-Estrada M. Propofol-based palliative sedation to treat antipsychotic-resistant agitated delirium. J Pain Palliat Care Pharmacother. 2017;31:190-194.




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