Diuretics Combined With Compression in Resistant Limb Edema of Advanced Disease—A Case Series Report

Diuretics Combined With Compression in Resistant Limb Edema of Advanced Disease—A Case Series... IntroductionThe extremity edema of advanced disease is a common, multifactorial feature, which impairs patients' activities and quality of life. The most frequently chosen management is based on combined decongestive physiotherapy or pharmacotherapy (with diuretics or steroids). Subcutaneous lymphatic drainage in refractory edema may decrease the swelling, prevent spontaneous lymphorrhea, but also increase the risk of infection. Safe and effective conservative management in diuretics-resistant edemas is lacking. The objective of this prospective, observational study was to assess the effectiveness and tolerability of combined physiotherapeutic and diuretic therapy in edemas refractory to parenteral diuretics. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Pain and Symptom Management Elsevier

Diuretics Combined With Compression in Resistant Limb Edema of Advanced Disease—A Case Series Report

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Publisher
Elsevier
Copyright
Copyright © 2017 American Academy of Hospice and Palliative Medicine
ISSN
0885-3924
D.O.I.
10.1016/j.jpainsymman.2017.12.481
Publisher site
See Article on Publisher Site

Abstract

IntroductionThe extremity edema of advanced disease is a common, multifactorial feature, which impairs patients' activities and quality of life. The most frequently chosen management is based on combined decongestive physiotherapy or pharmacotherapy (with diuretics or steroids). Subcutaneous lymphatic drainage in refractory edema may decrease the swelling, prevent spontaneous lymphorrhea, but also increase the risk of infection. Safe and effective conservative management in diuretics-resistant edemas is lacking. The objective of this prospective, observational study was to assess the effectiveness and tolerability of combined physiotherapeutic and diuretic therapy in edemas refractory to parenteral diuretics.

Journal

Journal of Pain and Symptom ManagementElsevier

Published: Apr 1, 2018

References

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