Paediatric Palliative Care Guidelines
search     associated sites     
Menu
Index
Related Topics
Archived Topics
Log in
Username:
Password:
You only need to log in if you are an editor.
Preferences
Edition/Revision: 1.0
Archived

Superior vena cava obstruction - Archived

Pathophysiology
  • Venous obstruction in the mediastinum and upper chest.
  • Usual cause is tumour, particularly lymphoma.
  • Pulmonary congestion leads to dyspnoea.
  • Congestion of intracranial vessels leads to feeling of fullness and headache.
Signs and symptoms
  • Headache, pressure or ‘fullness’ in head, worse on sneezing or bending forwards.
  • Shortness of breath and discomfort in chest.
  • Facial plethora, obvious collateral vessels over the upper chest wall.
Management
  • Management of individual symptoms (particularly pain and dyspnoea).
  • Reduction of tumour oedema using steroids (NB ONLY use in discussion with oncologists as some lymphomas may be very sensitive to steroids).
  • Reduction of tumour mass using radiotherapy.
  • Surgical insertion of stent into the SVC.
Edition/Revision: 1.0
Created 18 Jul 2013 - Archived
Validated 19 Jul 2013 by Ian Back
Last modified 31 Mar 2020
Sat 04 Apr 2020 07:10:28 GMT +0100 (DST)
Last modified 31 Mar 2020