It has been shown that FACIAL COOLING, with use of a small mechanical fan, in the areas subserved by the second and third BRANCHES of the trigeminal nerve reduces the sensation of breathlessness and may be efficacious in cancer patients. It is an ideal, inexpensive tool to incorporate into a "breathlessness/crisis plan." Opioids are an effective pharmacologic treatment for breathlessness; however, most evidence to date comes from nonmalignant disease. A number of CASE REPORTS and uncontrolled trials of inhaled furosemide have indicated that it may relieve dyspnea in terminal cancer patients.

It has been shown that facial cooling, with use of a small mechanical fan, in the areas subserved by the second and third branches of the trigeminal nerve reduces the sensation of breathlessness and may be efficacious in cancer patients. It is an ideal, inexpensive tool to incorporate into a "breathlessness/crisis plan." Opioids are an effective pharmacologic treatment for breathlessness; however, most evidence to date comes from nonmalignant disease. A number of case reports and uncontrolled trials of inhaled furosemide have indicated that it may relieve dyspnea in terminal cancer patients.