title: [Continuous subcutaneous infusion in palliative care, an undervalued method].
abstract: Three patients, 2 men aged 55 and 54 years and a woman aged 86 years, were admitted to hospital for treatment of symptoms resulting from terminal disease (pain, agitation, nausea etc.). In all three patients, continuous subcutaneous infusion (CSI) of medication was successfully used to control the symptoms. Compared with intravenous infusion, the technique of CSI is easy to learn and is associated with fewer complications. Its reliability and ease-of-use make it a technique that can be used not only in a hospital setting, but also in general practice and nursing homes. Medication used in palliative care (e.g. morphine, haloperidol, metoclopramide, levomepromazine, midazolam) can often be administered safely by CSI. In palliative care, where goals should be accomplished with minimal burden to the patient, CSI must be considered the technique of choice in patients who are unable to swallow their medication.
authors.affiliation: Albert Schweitzer Ziekenhuis, locatie Dordwijk, afd. Interne Geneeskunde, Dordrecht. rvmarum@knmg.nl
authors.forename: R J
authors.initials: RJ
authors.lastname: van Marum
authors.forename: E M
authors.initials: EM
authors.lastname: de Vogel
authors.forename: Z
authors.initials: Z
authors.lastname: Zylicz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007263:Infusions, Parenteral / Q000379:methods; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000188:drug therapy; D010146:Pain / Q000188:drug therapy; D010166:Palliative Care / Q000379:methods*; D014839:Vomiting / Q000188:drug therapy