Abstract

ILLAN, Andrea; CRESPO, Andrea; ILLAN, Selene  and  PANADERO, Sonia. Intravenous sedation at home after failure of subcutaneous sedation. Hosp. domic. [online]. 2022, vol.6, n.3, pp.135-139.  Epub Aug 22, 2022. ISSN 2530-5115.  https://dx.doi.org/10.22585/hospdomic.v6i3.160.

The subcutaneously pharmacological administration represents the best choice in the management of symptoms in palliative cancer patients. Specially at home, it is essential to propose sedation in a situation of agony. Also, it's common that cancer patients to have peripheral access central catheters due to the multiple cycles of cytostatic medication they receive throughout their lives.

For this reason and given the situation of failure of subcutaneous sedation in agony, intravenous sedation through these devices at home could be considered as an alternative. This working hypothesis is made clear based on our experience with intravenous sedation through a central venous reservoir (CVR) in a patient diagnosed with stage IV pancreatic adenocarcinoma at the end of her life. The patient died with good control of symptoms and complete sedation at home.

Keywords : palliative sedation; subcutaneous route; intravenous sedation; palliative care.

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