Diagnostik und Therapie der Atemnot in der Palliativmedizin

Abstract

Respiratory symptoms, such as tussis, haemoptysis, pleural effusion and dyspnoea, are common in palliative care patients and tend to increase as the underlying disease advances. Compared to the other symptoms, dyspnoea is of different nature, insofar as it is a subjective symptom where only the patient himself is in a position to judge its severity. It is not self-evident that measurable pathophysiological changes are to be found. Profound knowledge of physiology and pathophysiology is indispensable for targeted diagnostics and rational therapy. Key strategies of treatment include measures that will reduce increased breathing effort and respiratory rate, improve CO₂ elimination and have a positive impact on the distressing and emotional response to the experience of air hunger.

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