Home inotropic therapy in children

Comparative costs of home positive inotropic infusion versus in-hospital care in patients awaiting cardiac transplantation

Home inotropic therapy in advanced heart failure: cost analysis and clinical outcomes

A prospective study of continuous intravenous milrinone therapy for status IB patients awaiting heart transplant at home

Home continuous positive inotropic infusion as a bridge to cardiac transplantation in patients with end-stage heart failure
 

Botulinum toxin type-B improves sialorrhea and quality of life in bulbaronset amyotrophic lateral sclerosis

The assessment and implementation of mouth care in palliative care: a review

EPERC Fast Facts and Concept #130; Oral Mucositis: Prevention and Treatment

Mucositis - Chemotherapy Problems and Solutions

Palifermin Effective for Oral Mucositis From Chemotherapy or Radiotherapy (Medscape 2005)

Chemotherapy and Hematopoietic Stem Cell Transplantation Patients Management of Mucositis

Questions and Answers on Palifermin (Keratinocyte Growth Factor)

Palifermin for Oral Mucositis after Intensive Therapy for Hematologic Cancers

A Biological Approach to Mucositis

Clinical Trials in Supportive Care: Cancer Treatment-Related Mucositis (pdf)

Gelclair

Gelclair is a prescription-only, bioadherent oral gel indicated for the management/relief of pain associated with oral mucositis. Gelclair adheres to and coats the inside of the mouth, acting as a liquid bandage. It coats exposed nerve endings, thereby relieving the pain of mucositis. Through its ability to relieve pain, Gelclair can also enable patients to eat and drink more easily.

Current Developments in Treating Chemotherapy-Related Oral Mucositis

(from Clinical Advances in Hematology-Oncology)

Interventions for preventing oral mucositis for patients with cancer receiving treatment (Cochrane Review)

Oral topical doxepin rinse: analgesic effect in patients with oral mucosal pain due to cancer or cancer therapy

Comparative efficacy of patient-controlled administration of morphine, hydromorphone, or sufentanil for the treatment of oral mucositis pain following bone marrow transplantation

Palliative Oral Care

Topical ketamine in the treatment of mucositis pain
 

Randomized double-blind study of the Reliefband as an adjunct to standard antiemetics in patients receiving moderately-high to highly emetogenic chemotherapy

Cannabinoids in the Treatment of Symptoms in Cancer and AIDS

Bridging the continuum: nutrition support in palliative and hospice care

Artificial Nutrition and Hydration

Should Immunonutrition Become Routine in Critically Ill Patients? A Systematic Review

	Conclusion  Immunonutrition may decrease infectious complication rates but it is not associated with an overall mortality advantage. However, the treatment effect varies depending on the intervention, the patient population, and the methodological quality of the study.
	JAMA. 2001;286:944-953

The Role of Tube Feeding and Total Parenteral Nutrition in Advanced Illness American College of Surgeons (pdf)

The Paradox of Hydration in Advanced Terminal Illness American College of Surgeons (pdf)

Nebulized Opioids for Dyspnea

This information is based on the treatment of adults. One may wish to consider the use of this concept in the treatment of children.

The prevalence, key causes and management of insomnia in palliative care patients

"Uncontrolled physical symptoms, most often pain (15 patients), were the commonest cause of insomnia"