Midazolam as Adjunct Therapy to Morphine in the Alleviation of Severe Dyspnea Perception in Patients with Advanced Cancer  Alfredo H. Navigante, MD, PhD,

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Presentation transcript:

Midazolam as Adjunct Therapy to Morphine in the Alleviation of Severe Dyspnea Perception in Patients with Advanced Cancer  Alfredo H. Navigante, MD, PhD, Leandro C.A. Cerchietti, MD, Monica A. Castro, MD, Maribel A. Lutteral, MD, Maria E. Cabalar, MD  Journal of Pain and Symptom Management  Volume 31, Issue 1, Pages 38-47 (January 2006) DOI: 10.1016/j.jpainsymman.2005.06.009 Copyright © 2006 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 1 Flow of patients during the study. Journal of Pain and Symptom Management 2006 31, 38-47DOI: (10.1016/j.jpainsymman.2005.06.009) Copyright © 2006 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 2 Percentage of patients who experienced dyspnea relief at 24 hours. ∗P = 0.003 compared with MM. ∗∗P = 0.0004 compared with MM. Journal of Pain and Symptom Management 2006 31, 38-47DOI: (10.1016/j.jpainsymman.2005.06.009) Copyright © 2006 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 3 Dyspnea intensity (Borg scale) at 24 and 48 hours (median). ∗P = 0.002, ∗∗P = 0.018, ∗∗∗P = 0.003 compared with their respective baseline values. #P = 0.0001, ##P = 0.0004, ###P < 0.0001 compared with their respective baseline values. Journal of Pain and Symptom Management 2006 31, 38-47DOI: (10.1016/j.jpainsymman.2005.06.009) Copyright © 2006 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 4 Percentage of patients with persistent, uncontrolled dyspnea at 48 hours. ∗P = 0.04 compared with MM. Journal of Pain and Symptom Management 2006 31, 38-47DOI: (10.1016/j.jpainsymman.2005.06.009) Copyright © 2006 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 5 Episodes of BD. Journal of Pain and Symptom Management 2006 31, 38-47DOI: (10.1016/j.jpainsymman.2005.06.009) Copyright © 2006 U.S. Cancer Pain Relief Committee Terms and Conditions