American College of Chest Physicians consensus statement on the management of dyspnea in patients with advanced lung or heart disease.

@article{Mahler2010AmericanCO,
  title={American College of Chest Physicians consensus statement on the management of dyspnea in patients with advanced lung or heart disease.},
  author={Donald A Mahler and Paul A. Selecky and Christopher G. Harrod and Joshua O. Benditt and Virginia Carrieri-Kohlman and J. Randall Curtis and Harold L. Manning and Richard A. Mularski and Basil Varkey and Margaret L Campbell and Edward R. Carter and Jun R. Chiong and Eugene Wesley Ely and John Hansen-Flaschen and Denis E. O’Donnell and Alexander Waller},
  journal={Chest},
  year={2010},
  volume={137 3},
  pages={
          674-91
        }
}
BACKGROUND This consensus statement was developed based on the understanding that patients with advanced lung or heart disease are not being treated consistently and effectively for relief of dyspnea. METHODS A panel of experts was convened. After a literature review, the panel developed 23 statements covering five domains that were considered relevant to the topic condition. Endorsement of these statements was assessed by levels of agreement or disagreement on a five-point Likert scale using… 
Management of dyspnea in patients with advanced lung or heart disease: practical guidance from the American college of chest physicians consensus statement.
TLDR
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Hospitalist attitudes toward the assessment and management of dyspnea in patients with acute cardiopulmonary diseases.
TLDR
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TLDR
There is a critical need for interdisciplinary translational research to connect Dyspnea mechanisms with clinical treatment and to validate dyspnea measures as patient-reported outcomes for clinical trials.
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TLDR
A group of dyspnea researchers with expertise to conduct a literature review of evidence-based interventions for dyspna in patients with serious illness produced these guidelines.
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TLDR
Assessment of patients hospitalized for acute cardiopulmonary diseases at an urban teaching hospital found agreement between patient perception of dyspnea and healthcare providers' assessment is low, and admitting diagnosis was the only patient factor associated with discordance.
An official American Thoracic Society workshop report: assessment and palliative management of dyspnea crisis.
TLDR
A comprehensive search of the medical literature and evaluated available evidence from systematic evidence-based reviews (SEBRs) using a modified AMSTAR approach summarized the palliative management knowledge base for participants to use in discourse at a 2009 ATS workshop on dyspnea crisis management.
Opioid therapy for refractory dyspnea in patients with advanced chronic obstructive pulmonary disease: patients' experiences and outcomes.
TLDR
Opioids were a helpful and acceptable intervention for refractory dyspnea in patients with advanced COPD, and many of the patients experienced sustained benefits over months, which supports recent recommendations to consider opioids in this setting.
Perspectives of patients, family caregivers and physicians about the use of opioids for refractory dyspnea in advanced chronic obstructive pulmonary disease
TLDR
Discrepancies between the positive experiences of patients and family caregivers with opioids and the reluctance of physicians to prescribe opioids for refractory dyspnea constitute an important gap in care.
Recent advances in dyspnea.
TLDR
Acupuncture, bronchoscopic volume reduction, and noninvasive open ventilation are experimental approaches shown to ameliorate dyspnea in patients with COPD, but require confirmatory evidence before clinical use.
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