Revista Cubana de Medicina
On-line version ISSN 1561-302X
HERNANDEZ PERERA, Abel; HALL SMITH, Charles and HERNANDEZ PERERA, Aliana. Hypodermoclysis in patients presenting with terminal cancer. Rev cubana med [online]. 2011, vol.50, n.2, pp. 150-156. ISSN 1561-302X.
Introduction: The subcutaneous route is an alternative frequently used in patients with advanced stage cancer to administer medication, however, its hydration is exceptional in our country, thus, present study was conducted to know if it is feasible to administer subcutaneous hydration in patients with terminal oncologic diseases, the technique's characteristics and potential difficulties during its implementation. Methods: Ten patients presenting with advanced stage cancer and dehydration or its risk underwent subcutaneous hydration with infusion volume and rhythm fitted to each patient. Results: Eighteen punctures were carried out in 10 patients for a total of 55 days of infusion. The mean volume administered was of 1 000 mL/d with an infusion rhythm fluctuating between 20and 80 mL/h. The infusion point was changed each 2-4 d, as average, with a variable length between 1 and 10 d, mainly due to accumulation in the puncture zone. Conclusion: The subcutaneous route for hydration of patients with oncologic diseases in terminal stage is simple and seems free from significant complications.
Keywords : Hydration; subcutaneous route; subcutaneous hydration; palliative cares.