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Interventional anesthesia and palliative care collaboration to manage cancer pain: a narrative review
Canadian Journal of Anesthesia ( IF 4.2 ) Pub Date : 2019-09-30 , DOI: 10.1007/s12630-019-01482-w
Jenny Lau , David Flamer , Patricia Murphy-Kane

Pain is a common symptom associated with advanced cancer. An estimated 66.4% of people with advanced cancer experience pain from their disease or treatment. Pain management is an essential component of palliative care. Opioids and adjuvant therapies are the mainstay of cancer pain management. Nevertheless, a proportion of patients may experience complex pain that is not responsive to conventional analgesia. Interventional analgesia procedures may be appropriate and necessary to manage complex, cancer-related pain. This narrative review uses a theoretical case to highlight core principles of palliative care and interventional anesthesia, and the importance of collaborative, interdisciplinary care. An overview and discussion of pragmatic considerations of peripheral nervous system interventional analgesic procedures and neuraxial analgesia infusions are provided.

中文翻译:

介入麻醉和姑息治疗合作以管理癌症疼痛:叙事回顾

疼痛是与晚期癌症相关的常见症状。估计有66.4%的晚期癌症患者会因疾病或治疗而感到疼痛。疼痛管理是姑息治疗的重要组成部分。阿片类药物和辅助疗法是控制癌症疼痛的主要手段。但是,仍有一部分患者可能会经历对常规镇痛无反应的复杂疼痛。介入镇痛程序对于处理复杂的,与癌症相关的疼痛可能是适当且必要的。这篇叙述性回顾使用一个理论案例来强调姑息治疗和介入麻醉的核心原则,以及跨学科协作治疗的重要性。
更新日期:2020-01-16
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