The effect of breakthrough pain on heart and lung function during the cancer pain treatment in palliative care

Authors

  • Samir Husić Centre for Palliative Care, University Clinical Centre Tuzla, Trnovac bb, 75 000 Tuzla, Bosnia and Herzegovina
  • Dženita Ljuca Gynaecology and Obstetrics Clinic, University Clinical Centre, Trnovac bb, 75 000 Tuzla, Bosnia and Herzegovina.
  • Senad Izić Anaesthesia and resuscitation Clinic, University Clinical Centre, Trnovac bb, 75 000 Tuzla, Bosnia and Herzegovina.
  • Hasan Karahasan Department of Gynaecology and Obstetrics, Cantonal Hospital Zenica, Crkvice 67, 72 000 Zenica. Bosnia and Herzegovina

DOI:

https://doi.org/10.17532/jhsci.2011.122

Keywords:

breakthrough pain, heart and lung function

Abstract

Introduction: The aim of the research was to determine the effect of breakthrough pain (BTP) on heart and lung function in patients whose cancer pain had been treated with strong opiates.
Methods: A prospective study was conducted on 80 patients who were treated in recumbent patients’ hospice of Palliative Care Centre (hospice) University Clinical Centre Tuzla. The effect of pain breakthrough on
heart function was monitored by blood pressure and pulse measuring outside. The effect on respiratory function was monitored by measuring the respiration number with SpO2 and pCO2 and pO2 capillary blood values
outside, during and after relieving pain breakthrough.
Results: Mean value for Karnofsky score for patients upon admission was 47.13 ± 11.05 and on discharge 51.25 ± 11.73. The total number of pain breakthroughs for patients within the 10 days of the treatment was
1396. During the pain breakthrough the mean of systolic pressure was 133.1 mmHg and it was statistically significantly higher than the mean of systolic pressure measured after BTP relief with oral morphine. The
mean of diastolic pressure measured outside of pain breakthrough was 75.9 mmHg and after the BTP relief it was 72.9 mmHg. The mean pulse outside of pain breakthrough was 92.7 heartbeats per minute and after
the BTP relief 8 9.1 heartbeats per minute.
Conclusion: Pain breakthrough leads to pulse acceleration, increased systolic and diastolic blood pressure and it also affects respiratory function by accelerating the respiration

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Published

15.09.2011

Issue

Section

Research articles

How to Cite

1.
The effect of breakthrough pain on heart and lung function during the cancer pain treatment in palliative care. JHSCI [Internet]. 2011 Sep. 15 [cited 2024 Apr. 24];1(2):103-9. Available from: https://www.jhsci.ba/ojs/index.php/jhsci/article/view/51

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