Breathlessness from malignant or non-malignant cause Signs and Symptoms Abnormalities of breathing
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient is chronically breathless 2. Dyspnoea Exertion Scale (DES) levels 2 or above 3. Any diagnosis causing intractable breathlessness 4. Aged greater than 30 years, either sex
Exclusion criteria
Exclusion criteria: 1. Anaemic patients with haemoglobin (Hb) less than 10 g/l 2. Patients with fever greater than 38.0°C in last 24 hours 3. Patients on continuous oxygen 4. Patients requiring short burst oxygen therapy whilst completing the study 5. Patients with diseases or treatment affecting the trigeminal nerve supply 6. Patients on beta blockers 7. Patients with known autonomic neuropathy 8. Patients with peripheral vascular disease 9. Patients with cerebral disease or receiving cerebral radiotherapy 10. Patients with known severe cardiac or intrapulmonary arterio-venous shunts 11. Patients unable to understand or cooperate with study 12. Patients who do not wish to participate in the study 13. Patients whose disease is not maximally medically treated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease in visual analogue scale of greater than 10 mm after use of handheld fan directed to face. The primary outcome measure was a recording of visual analogue score for breathlessness. This was measured at baseline (time zero), after 5 minutes use of fan directed to face or leg, at completion of subsequent 10 minute washout period, after 5 minutes use of second treatment ( fan to face or leg) and after final 10 minute washout period. | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
United Kingdom