OBJECTIVES : The subcutaneous (SC) infusion pump are routinely used in palliative care for the SC infusion of drugs for pain and symptom control. The infusion can lead to patient well-being and the potential for sub-optimal symptom control. This study will outline the use of continuous SC infusion pumps, known as syringe drivers, including their benefits and drawbacks in a palliative care context. At the Clinical Center of the University of Pecs are carrying out trials of the recently launched SC infusion pump in the inpatient and home palliative care. The SC infusion pump is often set at ml/hour with the rate set at 24-hour period.

METHODS : The study is a retrospective, quantitative analysis. Through a purposive sampling we analyzed records of tumor- and terminal stage patients in 2017, who were involved in the service of the Pécs-Baranya County Hospice Foundation and met enroll criteria. We were used descriptive statistics. Syringe driver recording forms were retrieved from case notes of consecutive patients who received medication via a syringe driver. The pain was measured on a numerical scale, and other symptoms and well-being were documented on ESAS scale.

RESULTS : During the presented five case report the continuous infusions help improving well-being, pain and other symptoms (for example: vomiting, nausea, dehydration) relief. Based on the cases we found that the rate of pain decreased by 30%, the number of vomits decreased by 20%, and the patient's well-being showed 15% increase.

CONCLUSIONS : The introduction of syringe drivers revolutionised pain control with added benefits for the patient and professionals.