{"id":19132,"date":"2024-03-07T18:41:07","date_gmt":"2024-03-07T21:41:07","guid":{"rendered":"https:\/\/www.casadocuidar.org.br\/?p=19132"},"modified":"2024-03-07T13:45:08","modified_gmt":"2024-03-07T16:45:08","slug":"manejo-de-dispneia-no-paciente-oncologico","status":"publish","type":"post","link":"https:\/\/www.casadocuidar.org.br\/en\/blog\/manejo-de-dispneia-no-paciente-oncologico\/","title":{"rendered":"Manejo de dispneia no paciente oncol\u00f3gico"},"content":{"rendered":"

Via: Management of Dyspnea in Advanced Cancer: ASCO Guideline David Hui, MD1 ; Kari Bohlke, ScD2 ; Ting Bao, MD3 ; Toby C. Campbell, MD, MS4 ; Patrick J. Coyne, MSN, ACHPN, ACNS-BC5 ; David C. Currow, BMed, MPH, PhD6 ; Arjun Gupta, MD7 ; Aliza L. Leiser, MD8 ; Masanori Mori, MD9 ; Stefano Nava, MD10; Lynn F. Reinke, PhD, ARNP11; Eric J. Roeland, MD12; Carole Seigel, MBA13; Declan Walsh, MD, MSc14; and Margaret L. Campbell, PhD, RN15<\/em><\/p>\n

A dispneia \u00e9 um sintoma subjetivo: uma experi\u00eancia de desconforto respirat\u00f3rio muito comum em pacientes oncol\u00f3gicos, com impacto na qualidade de vida, funcionalidade e ansiedade.<\/p>\n

Buscando um manejo mais adequado desse sintoma t\u00e3o prevalente e que impacta tanto na vida de pacientes com neoplasia de pulm\u00e3o ou met\u00e1stase pulmonar, a Sociedade Americana de Oncologia (ASCO) lan\u00e7ou em 2021 um guia para orientar cl\u00ednicos que cuidam de pacientes nessas condi\u00e7\u00f5es:<\/p>\n

    \n
  1. Avaliar causas potencialmente revers\u00edveis e trat\u00e1-las de forma adequada: pneumonia, broncoespasmo, congest\u00e3o, derrame pleural, anemia, asma;<\/li>\n
  2. Avaliar a intensidade do sintoma no in\u00edcio e ap\u00f3s medidas, checar fatores de melhora ou piora;<\/li>\n
  3. Realizar medidas n\u00e3o farmacol\u00f3gicas: ventiladores de m\u00e3o, uso de oxig\u00eanio se evid\u00eancia de hipoxemia (SpO2< ou = 90%), ensinar t\u00e9cnicas de respira\u00e7\u00e3o (medita\u00e7\u00e3o, musicoterapia, relaxamento, fisioterapia);<\/li>\n
  4. Avaliar interven\u00e7\u00e3o farmacol\u00f3gica caso n\u00e3o haja melhora. Opi\u00f3ides em dose baixa podem contribuir para o al\u00edvio da dispn\u00e9ia, em alguns casos, o uso de ansiol\u00edticos pode ser indicado. Outros medicamentos devem ser avaliados de acordo com a causa do sintoma.<\/li>\n<\/ol>\n

    <\/p>\n","protected":false},"excerpt":{"rendered":"

    Via: Management of Dyspnea in Advanced Cancer: ASCO Guideline David Hui, MD1 ; Kari Bohlke, ScD2 ; Ting Bao, MD3 ; Toby C. Campbell, MD, MS4 ; Patrick J. Coyne, MSN, ACHPN, ACNS-BC5 ; David C. Currow, BMed, MPH, PhD6 ; Arjun Gupta, MD7 ; Aliza L. Leiser, MD8 ; Masanori Mori, MD9 ; Stefano…<\/p>\n","protected":false},"author":2618,"featured_media":19133,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[23],"tags":[],"class_list":["post-19132","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-23","description-off"],"acf":[],"yoast_head":"\nManejo de dispneia no paciente oncol\u00f3gico - Casa do Cuidar<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Manejo de dispneia no paciente oncol\u00f3gico - Casa do Cuidar\" \/>\n<meta property=\"og:description\" content=\"Via: Management of Dyspnea in Advanced Cancer: ASCO Guideline David Hui, MD1 ; Kari Bohlke, ScD2 ; Ting Bao, MD3 ; Toby C. Campbell, MD, MS4 ; Patrick J. Coyne, MSN, ACHPN, ACNS-BC5 ; David C. Currow, BMed, MPH, PhD6 ; Arjun Gupta, MD7 ; Aliza L. Leiser, MD8 ; Masanori Mori, MD9 ; Stefano…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/\" \/>\n<meta property=\"og:site_name\" content=\"Casa do Cuidar\" \/>\n<meta property=\"article:published_time\" content=\"2024-03-07T21:41:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2024\/03\/Thumbs-blog.png\" \/>\n\t<meta property=\"og:image:width\" content=\"680\" \/>\n\t<meta property=\"og:image:height\" content=\"453\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#\\\/schema\\\/person\\\/01d4bdf3952ec17e7ecb2a10adcd5c41\"},\"headline\":\"Manejo de dispneia no paciente oncol\u00f3gico\",\"datePublished\":\"2024-03-07T21:41:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/\"},\"wordCount\":270,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/website\\\/wp-content\\\/uploads\\\/2024\\\/03\\\/Thumbs-blog.png\",\"articleSection\":[\"Blog\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/\",\"url\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/\",\"name\":\"Manejo de dispneia no paciente oncol\u00f3gico - Casa do Cuidar\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/website\\\/wp-content\\\/uploads\\\/2024\\\/03\\\/Thumbs-blog.png\",\"datePublished\":\"2024-03-07T21:41:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/website\\\/wp-content\\\/uploads\\\/2024\\\/03\\\/Thumbs-blog.png\",\"contentUrl\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/website\\\/wp-content\\\/uploads\\\/2024\\\/03\\\/Thumbs-blog.png\",\"width\":680,\"height\":453},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/blog\\\/manejo-de-dispneia-no-paciente-oncologico\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Manejo de dispneia no paciente oncol\u00f3gico\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#website\",\"url\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/\",\"name\":\"Casa do Cuidar\",\"description\":\"Pr\u00e1tica e ensino em cuidados paliativos\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#organization\",\"name\":\"Casa do Cuidar \u2013 Pr\u00e1tica e ensino em cuidados paliativos\",\"url\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/website\\\/wp-content\\\/uploads\\\/2018\\\/08\\\/casadocuidar-logoshare.png\",\"contentUrl\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/website\\\/wp-content\\\/uploads\\\/2018\\\/08\\\/casadocuidar-logoshare.png\",\"width\":500,\"height\":500,\"caption\":\"Casa do Cuidar \u2013 Pr\u00e1tica e ensino em cuidados paliativos\"},\"image\":{\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.casadocuidar.org.br\\\/#\\\/schema\\\/person\\\/01d4bdf3952ec17e7ecb2a10adcd5c41\",\"name\":\"\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/54bf5c5ca2b83b94318a0626ecf653d87df4460a1922eec7711d0f3cdf9a801e?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/54bf5c5ca2b83b94318a0626ecf653d87df4460a1922eec7711d0f3cdf9a801e?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/54bf5c5ca2b83b94318a0626ecf653d87df4460a1922eec7711d0f3cdf9a801e?s=96&d=mm&r=g\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Manejo de dispneia no paciente oncol\u00f3gico - Casa do Cuidar","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/","og_locale":"en_US","og_type":"article","og_title":"Manejo de dispneia no paciente oncol\u00f3gico - Casa do Cuidar","og_description":"Via: Management of Dyspnea in Advanced Cancer: ASCO Guideline David Hui, MD1 ; Kari Bohlke, ScD2 ; Ting Bao, MD3 ; Toby C. Campbell, MD, MS4 ; Patrick J. Coyne, MSN, ACHPN, ACNS-BC5 ; David C. Currow, BMed, MPH, PhD6 ; Arjun Gupta, MD7 ; Aliza L. Leiser, MD8 ; Masanori Mori, MD9 ; Stefano…","og_url":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/","og_site_name":"Casa do Cuidar","article_published_time":"2024-03-07T21:41:07+00:00","og_image":[{"width":680,"height":453,"url":"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2024\/03\/Thumbs-blog.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Written by":"","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#article","isPartOf":{"@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/"},"author":{"name":"","@id":"https:\/\/www.casadocuidar.org.br\/#\/schema\/person\/01d4bdf3952ec17e7ecb2a10adcd5c41"},"headline":"Manejo de dispneia no paciente oncol\u00f3gico","datePublished":"2024-03-07T21:41:07+00:00","mainEntityOfPage":{"@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/"},"wordCount":270,"commentCount":0,"publisher":{"@id":"https:\/\/www.casadocuidar.org.br\/#organization"},"image":{"@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#primaryimage"},"thumbnailUrl":"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2024\/03\/Thumbs-blog.png","articleSection":["Blog"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/","url":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/","name":"Manejo de dispneia no paciente oncol\u00f3gico - Casa do Cuidar","isPartOf":{"@id":"https:\/\/www.casadocuidar.org.br\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#primaryimage"},"image":{"@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#primaryimage"},"thumbnailUrl":"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2024\/03\/Thumbs-blog.png","datePublished":"2024-03-07T21:41:07+00:00","breadcrumb":{"@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#primaryimage","url":"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2024\/03\/Thumbs-blog.png","contentUrl":"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2024\/03\/Thumbs-blog.png","width":680,"height":453},{"@type":"BreadcrumbList","@id":"https:\/\/www.casadocuidar.org.br\/blog\/manejo-de-dispneia-no-paciente-oncologico\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.casadocuidar.org.br\/en\/"},{"@type":"ListItem","position":2,"name":"Manejo de dispneia no paciente oncol\u00f3gico"}]},{"@type":"WebSite","@id":"https:\/\/www.casadocuidar.org.br\/#website","url":"https:\/\/www.casadocuidar.org.br\/","name":"Casa do Cuidar","description":"Pr\u00e1tica e ensino em cuidados paliativos","publisher":{"@id":"https:\/\/www.casadocuidar.org.br\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.casadocuidar.org.br\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.casadocuidar.org.br\/#organization","name":"Casa do Cuidar \u2013 Pr\u00e1tica e ensino em cuidados paliativos","url":"https:\/\/www.casadocuidar.org.br\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.casadocuidar.org.br\/#\/schema\/logo\/image\/","url":"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2018\/08\/casadocuidar-logoshare.png","contentUrl":"https:\/\/www.casadocuidar.org.br\/website\/wp-content\/uploads\/2018\/08\/casadocuidar-logoshare.png","width":500,"height":500,"caption":"Casa do Cuidar \u2013 Pr\u00e1tica e ensino em cuidados paliativos"},"image":{"@id":"https:\/\/www.casadocuidar.org.br\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.casadocuidar.org.br\/#\/schema\/person\/01d4bdf3952ec17e7ecb2a10adcd5c41","name":"","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/54bf5c5ca2b83b94318a0626ecf653d87df4460a1922eec7711d0f3cdf9a801e?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/54bf5c5ca2b83b94318a0626ecf653d87df4460a1922eec7711d0f3cdf9a801e?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/54bf5c5ca2b83b94318a0626ecf653d87df4460a1922eec7711d0f3cdf9a801e?s=96&d=mm&r=g"}}]}},"_links":{"self":[{"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/posts\/19132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/users\/2618"}],"replies":[{"embeddable":true,"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/comments?post=19132"}],"version-history":[{"count":1,"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/posts\/19132\/revisions"}],"predecessor-version":[{"id":19135,"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/posts\/19132\/revisions\/19135"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/media\/19133"}],"wp:attachment":[{"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/media?parent=19132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/categories?post=19132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.casadocuidar.org.br\/en\/wp-json\/wp\/v2\/tags?post=19132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}