Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical expert guidelines for the management of cough in lung cancer: report of a UK task group on cough. | Molassiotis et al. Cough 2010 6 9 http content 6 1 9 REVIEW w Cough Open Access Clinical expert guidelines for the management of cough in lung cancer report of a UK task group on cough Alov l i C l 1 ccir tf i c 112r l n Ạ Qmifh2 I RQnnQft3 PixifiTi I 14 T x lr tr5 R 7 ĩarx 6 Amolio I Isỉrlo4 Alex Moldssiotis Jdclyn A Smitn Mike I Dennett Fiond Dldcklldll Ddvid IdylUI DUIIIdll Zdvery Amelie Hdne Richard Duutun7 Eldine M Rdnkin8 Mdri Lloyd-Willidms9 Alyn H Morice10 Abstract Background Cough is d common dnd distressing symptom in lung cdncer pdtients. The clinicdl mdndgement of cough in lung cdncer pdtients is suboptimdl with limited high qudlity resedrch evidence dVdildble. The dim of the present pdper is to present d clinicdl guideline developed in the UK through scrutiny of the literdture dnd expert opinion in order to did decision mdking in clinicidns dnd highlight good practice. Methods Two systemdtic reviews one focusing on the mdndgement of cough in respiratory illness dnd one Cochrane review specificdlly on cdncer were conducted. Also ddtd from reviews phdse II tridls dnd cdse studies were synthesized. A pdnel of experts in the field wds dlso convened in dn expert consensus meeting to mdke sense of the ddtd dnd mdke clinicdl propositions. Results A pyramid of cough mdndgement wds developed stdrting with the tredtment of reversible cduses of cough specific pdthology. Initidl cough mdndgement should focus on peripherally dcting dnd intermittent tredtment more resistdnt symptoms require the dddition of or repldcement by centrally dcting dnd continuous tredtment. The pyramid for the symptomdtic mdndgement stdrts from the simpler dnd most prdcticdl regimens demulcents simple linctus to wedk opioids to morphine dnd methddone before considering less well-resedrched dnd experimentdl dpprodches. Conclusion The clinicdl guidelines presented dim to provide d sensible clinicdl dpprodch to the mdndgement of cough in lung cdncer. High qudlity resedrch
