Palliative Ultrasound for Home Care Hospice Patients

Mariani, Peter J.; Setla, Judith

doi:10.1111/j.1553-2712.2009.00678.x

Cited by 38 publications

(27 citation statements)

References 28 publications

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“…There are no contraindications of US-guided procedures in palliative care [320]. The management of cancer complications indicates potential roles for home-performed US and US-guided procedures at the end of life [321].…”

Section: Palliative Care !mentioning

confidence: 99%

EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Short Version)

et al. 2016

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The third part of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Guidelines on Interventional Ultrasound assesses the evidence for ultrasound-guided and assisted interventions in abdominal treatment procedures. Recommendations for clinical practice are presented covering indications, contraindications, safety and efficacy of the broad variety of these techniques. In particular, drainage of abscesses and fluid collections, interventional tumor ablation techniques, interventional treatment of symptomatic cysts and echinococcosis, percutaneous transhepatic cholangiography and drainage, percutaneous gastrostomy, urinary bladder drainage, and nephrostomy are addressed (short version; a long version is published online).

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Section: Palliative Care !mentioning

confidence: 99%

EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Short Version)

et al. 2016

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“…There are no contraindications of US-guided procedures in palliative care [522]. The management of cancer complications indicates potential roles for home-performed US and US-guided procedures at the end of life [523].…”

Section: Palliative Care !mentioning

confidence: 99%

EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Long Version)

et al. 2015

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The third part of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Guidelines on Interventional Ultrasound (INVUS) assesses the evidence for ultrasound-guided and assisted interventions in abdominal treatment procedures. Recommendations for clinical practice are presented covering indications, contraindications, and safe and effective performance of the broad variety of these techniques. In particular, drainage of abscesses and fluid collections, interventional tumor ablation techniques, interventional treatment of symptomatic cysts and echinococcosis, percutaneous transhepatic cholangiography and drainage, percutaneous gastrostomy, urinary bladder drainage, and nephrostomy are addressed (long version).

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“…As this fluid accumulates, it causes increased abdominal pressure, often with pain, shortness of breath, nausea, loss of appetite, swollen legs, reduced mobility and problems of body image. 6 Paracentesis is the drainage of ascitic fluid from the abdomen via cannulation and provides relief in approximately 90% of cases. 7 Clinical ultrasonography is used to assess the need for invasive procedures and to allow safer decision-making.…”

Section: What Gap This Fillsmentioning

confidence: 99%

The use of bedside ultrasound and community-based paracentesis in a palliative care service

Landers¹,

Ryan²

2014

J Prim Health Care

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INTRODUCTION: There is little information, particularly in New Zealand, on the use of ultrasound to enhance clinical decision-making in a specialist palliative care service. Technological advances have resulted in increasingly portable, user-friendly ultrasound machines that can be used in the home setting to offer convenient access to this treatment option. AIM: To evaluate the clinical use of portable ultrasonography in the management of abdominal ascites in a community palliative care service. METHODS: Patients referred to the Nurse Maude Hospice and Palliative Care Service requiring assessment for abdominal ascites over 12 months were scanned using a newly purchased handheld ultrasound machine. The patients had a variety of diagnoses; the most common diagnosis was ovarian cancer. RESULTS: Forty-one ultrasound scans performed for 32 patients to assess for ascites drainage were recorded. Fluid was identified in 19 assessments and drainage undertaken in 17. Over half the scans were completed at home, allowing nine procedures to be performed safely and conveniently, which reduced time spent at the local hospital. There were no major complications. DISCUSSION: Ultrasonography is a tool that has not previously been utilised in palliative care locally, but has significant potential patient benefits. This novel use of technology also highlighted potential cost savings to the patient and health system, which may be beneficial to other palliative care services in New Zealand. KEYWORDS: Ascites; community health services; palliative care; paracentesis, ultrasonography

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Palliative Ultrasound for Home Care Hospice Patients

Cited by 38 publications

References 28 publications

EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Short Version)

EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Short Version)

EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Long Version)

The use of bedside ultrasound and community-based paracentesis in a palliative care service

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