Palipocus: Aplicação de POCUS nos Cuidados Paliativos

Autores

DOI:

https://doi.org/10.24950/rspmi.651

Palavras-chave:

Cuidados Paliativos, Ecografia, Medicina Interna, Sistemas Point of Care

Resumo

Os cuidados paliativos são cuidados holísticos prestados a indivíduos com sofrimento intenso decorrente de doença grave.
A melhoria da sobrevida nas doenças malignas e não malignas levou ao envelhecimento da população, que vive com doenças crónicas avançadas e frequentemente recorre aos serviços de saúde. Os métodos imagiológicos não invasivos podem ter um papel importante nos cuidados paliativos modernos, no controlo sintomático e na abordagem de intercorrências agudas. A ecografia point-of-care (POCUS) trata-se da ecografia realizada à cabeceira do doente, para responder a questões clínicas dirigidas, com o objetivo de orientar a abordagem clínica. O objetivo da nossa revisão é contribuir para uma maior compreensão acerca da utilidade e adequação de POCUS em cuidados paliativos. A utilização do POCUS na prática clínica tem vindo a aumentar nos últimos anos e as suas características tornam-no uma ferramenta útil no diagnóstico e terapêutica em cuidados paliativos, nomeadamente em equipas de apoio comunitário.

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Referências

Radbruch L, De Lima L, Knaul F, Wenk R, Ali Z, Bhatnaghar S, et al. Redefining Palliative Care-A New Consensus-Based Definition. J Pain Symptom Manage. 2020;60:754-64. doi: 10.1016/j.jpainsymman.2020.04.027.

Wang DH. Beyond Code Status: Palliative Care Begins in the Emergency Department. Ann Emerg Med. 2017:437-443. doi: 10.1016/j.annemergmed.2016.10.027.

World Health Organization. Palliative Care Key facts.. Geneva: WHO; 2020.

Grudzen CR, Stone SC, Morrison RS. The palliative care model for emergency department patients with advanced illness. J Palliat Med.

;14:945-50. doi: 10.1089/jpm.2011.0011.

Breakey N, Osterwalder J, Mathis G, Lehmann B, Sauter TC. Point of care ultrasound for rapid assessment and treatment of palliative care patients in acute medical settings. Eur J Intern Med. 2020;81:7-14. doi: 10.1016/j.ejim.2020.08.007.

Dean AJ, Melniker LA. Hospice and palliative medicine ultrasound: a new horizon for emergency medicine? Acad Emerg Med.m2010;17:330-2. doi: 10.1111/j.1553-2712.2010.00688.x.

Grant MP, Cardin A, O'Connor N, Eastman P. Examining Clinical Utility of Imaging for Inpatient Palliative Care. Am J Hosp Palliat Care. 2017. doi: 10.1177/1049909116640524.

LoPresti CM, Jensen TP, Dversdal RK, Astiz DJ. Point-of-Care Ultrasound for Internal Medicine Residency Training: A Position Statement from the Alliance of Academic Internal Medicine. Am J Med. 2019:1356-1360. doi: 10.1016/j.amjmed.2019.07.019.

Vargas-Bermúdez A, Valverde-Vega A, Vargas-Aguilar K, Espinoza-Sánchez A. Point-of-Care Ultrasound in the Academic Training of Palliative Medicine Residents. J Palliat Med. 2017:699-700. doi: 10.1089/jpm.2017.0055. Epub 2017 Mar 15. PMID: 28296557.

Ambasta A, Balan M, Mayette M, Goffi A, Mulvagh S, Buchanan B, Montague S, Ruzycki S, Ma IWY; Canadian Internal Medicine Ultrasound (CIMUS) Group. Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group. J Gen Intern Med. 2019:2123-2129. doi: 10.1007/s11606-019-05124-1. Erratum in: J Gen Intern Med. 2020:624.

Nuernberg D, Jenssen C, Fröhlich E, Ignee A, Mathis G, Dietrich CF. Bedeutung der Sonografie in der Palliativmedizin (Palliative Sonografie) Teil 2 [Ultrasound in palliative care medicine, Part II]. Z Gastroenterol. 2017:582-591. doi: 10.1055/s-0043-104780.

Gishen F, Trotman I. Bedside ultrasound--experience in a palliative care unit. Eur J Cancer Care. 2009;18:642-4. doi: 10.1111/j.1365-

-2354.2009.01071.x.13. Villalobos K. Ultrasound application in point of care by palliative medicine physicians: Initial experience of oncology palliative medicine consultation in two rural area hospitals in Costa Rica. J Clin Oncol. 2017; 35; 254. doi: 10.1200/JCO.2017.35.31_suppl.254.

Solano JP, Gomes B, Higginson IJ. A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manage. 2006:58-69. doi: 10.1016/j.jpainsymman.2005.06.007. 15. Shreves A, Pour TR. Emergency department management of dyspnea in the dying patient. Emerg Med Pract. 2018:1-20.

Currow DC, Smith J, Davidson PM, Newton PJ, Agar MR, Abernethy AP. Do the trajectories of dyspnea differ in prevalence and intensity by diagnosis at the end of life? A consecutive cohort study. J Pain Symptom Manage. 2010:680-90. doi: 10.1016/j.jpainsymman.2009.09.017.

Rempell JS, Noble VE. Using lung ultrasound to differentiate patients in acute dyspnea in the prehospital emergency setting. Crit Care. 2011;15:161. doi: 10.1186/cc10226.

Breakey N, Osterwalder J, Mathis G, Lehmann B, Sauter TC. Point of care ultrasound for rapid assessment and treatment of palliative care patients in acute medical settings. Eur J Intern Med. 2020;81:7-14. doi: 10.1016/j.ejim.2020.08.007.

Cylwik J, Buda N. Possibilities of ultrasonography in diagnosing causes of dyspnea in palliative care cancer patients. Palliative Med Pact. 2020;14:205–11. doi: 10.5603/PMPI.2020.0024

Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008;134:117-25. doi: 10.1378/chest.07-2800. Erratum in: Chest. 2013;144:721.

Prentice J, Amer T, Tasleem A, Aboumarzouk O. Malignant ureteric obstruction decompression: how much gain for how much pain? A narrative review. J R Soc Med. 2018;111:125-135. doi: 10.1177/0141076818766725.

D'Silva KA, Dahm P, Wong CL. Does this man with lower urinary tract symptoms have bladder outlet obstruction?: The Rational Clinical Examination: a systematic review. JAMA. 2014;312:535-42. doi: 10.1001/jama.2014.5555. Erratum in: JAMA. 2016;315:518.

Bergstra TG, Gutmanis I, Byrne J, Faulds C, Whitfield P, McCallum S, Shadd J. Urinary Retention and Medication Utilization on a Palliative Care Unit: A Retrospective Observational Study. J Pain Palliat Care Pharmacother. 2017;31:212-217. doi: 10.1080/15360288.2017.1417951.

Tintinalli JE. Acute urinary retention as a presenting sign of spinal cord compression. Ann Emerg Med. 1986;15:1235-7. doi: 10.1016/s0196-0644(86)80876-9.

Abernethy AP, Wheeler JL, Zafar SY. Management of gastrointestinal symptoms in advanced cancer patients: the rapid learning cancer clinic model. Curr Opin Support Palliat Care. 2010;4:36-45. doi: 10.1097/SPC.0b013e32833575fd.

Tomizawa M, Shinozaki F, Hasegawa R, Shirai Y, Motoyoshi Y, Sugiyama T, Yamamoto S, Ishige N. Abdominal ultrasonography for patients with abdominal pain as a first-line diagnostic imaging modality. Exp Ther Med. 2017;13:1932-1936. doi: 10.3892/etm.2017.4209.

Palliative Care in the Acute Care Setting: Background, Symptoms and Pathophysiology, Frequency [Internet]. [cited 2021 Jun 11]. Available from: https://emedicine.medscape.com/article/1407757-overview#a14

White C, Noble SIR, Watson M, Swan F, Allgar VL, Napier E, et al. Prevalence, symptom burden, and natural history of deep vein thrombosis in people with advanced cancer in specialist palliative care units (HIDDen): a prospective longitudinal observational study. Lancet Haematol. 2019:e79-e88. doi: 10.1016/S2352-3026(18)30215-1. Erratum in: Lancet Haematol. 2019:e294.

Sandset PM, Dahm AEA. Is venous thromboembolism a problem in patients with cancer in palliative care? Lancet Haematol. 2019:e61-e62. doi: 10.1016/S2352-3026(18)30218-7.

Noble S. Venous thromboembolism and palliative care. Clin Med. 2019;19:315-318. doi: 10.7861/clinmedicine.19-4-315.

Needleman L, Cronan JJ, Lilly MP, Merli GJ, Adhikari S, Hertzberg BS, et al. Ultrasound for Lower Extremity Deep Venous Thrombosis: Multidisciplinary Recommendations From the Society of Radiologists in Ultrasound Consensus Conference. Circulation. 2018;137:1505-15. doi: 10.1161/CIRCULATIONAHA.117.030687.

Landers A, Ryan B. The use of bedside ultrasound and community-based paracentesis in a palliative care service. J Prim Health Care. 2014:148-51.

Mariani PJ, Setla JA. Palliative ultrasound for home care hospice patients. Acad Emerg Med. 2010;17:293-6. doi: 10.1111/j.1553-

-2712.2009.00678.x.

Dhamija E, Thulkar S, Bhatnagar S. Utility and potential of bedside ultrasound in palliative care. Indian J Palliat Care. 2015;21:132-6. doi: 10.4103/0973-1075.156465.

Muduly D, Deo S, Subi Ts, Kallianpur A, Shukla N. An update in the management of malignant pleural effusion. Indian J Palliat Care.

;17:98-103. doi: 10.4103/0973-1075.84529.

Neal JM, Brull R, Chan VW, Grant SA, Horn JL, Liu SS, et al. The ASRA evidence-based medicine assessment of ultrasound-guided regional anesthesia and pain medicine: Executive summary. Reg Anesth Pain Med. 2010;35:S1-9. doi: 10.1097/AAP.0b013e3181d22fe0. Erratum in: Reg Anesth Pain Med. 2010;35:325.

Chernack B, Knowlton SE, Kohler MJ. The Use of Ultrasound in Palliative Care and Hospice. Am J Hosp Palliat Care. 2017;34:385-391. doi: 10.1177/1049909115625960.

Egan G, Healy D, O'Neill H, Clarke-Moloney M, Grace PA, Walsh SR. Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis. Emerg Med J. 2013;30:521-6. doi: 10.1136/emermed-2012-201652.

Bortolussi R, Zotti P, Conte M, Marson R, Polesel J, Colussi A, et al. Quality of Life, Pain Perception, and Distress Correlated to Ultrasound-Guided Peripherally Inserted Central Venous Catheters in Palliative Care Patients in a Home or Hospice Setting. J Pain Symptom Manage. 2015;50:118-23. doi: 10.1016/j.jpainsymman.2015.02.027.

Shokoohi H, Duggan NM, Adhikari S, Selame LA, Amini R, Blaivas M. Point-of-care ultrasound stewardship. J Am Coll Emerg Physicians Open. 2020:1326. doi: 10.1002/emp2.12279

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Publicado

23-06-2022

Como Citar

1.
Egídio de Sousa I, Monteiro M, Valente T, Santos A, Fiuza T, Pacheco Mendes A, Soares R, Teixeira J, Mariz J. Palipocus: Aplicação de POCUS nos Cuidados Paliativos. RPMI [Internet]. 23 de Junho de 2022 [citado 11 de Agosto de 2022];29(2):140-8. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/651

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