Interventional Techniques for the Management of Cancer-Related Pain: Clinical and Critical Aspects

被引：41
作者：
Kurita, Geana Paula [1 ,2 ]
Sjogren, Per [1 ,3 ]
Klepstad, Pal [4 ,5 ]
Mercadante, Sebastiano [6 ,7 ]
机构：
[1] Copenhagen Univ Hosp, Rigshosp, Dept Oncol, Palliat Res Grp, DK-2100 Copenhagen, Denmark
[2] Copenhagen Univ Hosp, Rigshosp, Dept Neuroanaesthesiol, Multidisciplinary Pain Ctr, DK-2100 Copenhagen, Denmark
[3] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, DK-2200 Copenhagen, Denmark
[4] St Olays Univ Hosp, Dept Intens Care Med, N-7006 Trondheim, Norway
[5] Norwegian Univ Sci & Technol, Dept Circulat & Med Imaging, N-7491 Trondheim, Norway
[6] La Maddalena Canc Ctr, Anesthesia & Intens Care Unit, Main Reg Ctr Canc Pain & Support Palliat Care, I-90145 Palermo, Italy
[7] La Maddalena Canc Ctr, Pain Relief & Palliat Care Unit, I-90145 Palermo, Italy
来源：
CANCERS | 2019年 / 11卷 / 04期
关键词：
cancer-related pain; neuraxial analgesia; vertebroplasty; sympathetic blocks; peripheral nerve blocks; cordotomy; CELIAC PLEXUS BLOCK; PERCUTANEOUS CERVICAL CORDOTOMY; UNRESECTABLE PANCREATIC-CANCER; QUALITY-OF-LIFE; VERTEBRAL COMPRESSION FRACTURES; PERIPHERAL-NERVE BLOCKS; MORPHINE ANALGESIA; SYMPATHETIC BLOCKS; INTRACTABLE PAIN; DOUBLE-BLIND;
D O I：
10.3390/cancers11040443
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Interventional techniques to manage cancer-related pain may be efficient treatment modalities in patients unresponsive or unable to tolerate systemic opioids. However, indication and selection of the right technique demand knowledge, which is still incipient among clinicians. The present article summarizes the current evidence regarding the five most essential groups of interventional techniques to treat cancer-related pain: Neuraxial analgesia, minimally invasive procedures for vertebral pain, sympathetic blocks for abdominal cancer pain, peripheral nerve blocks, and percutaneous cordotomy. Furthermore, indication, mechanism, drug agents, contraindications, and complications of the main techniques of each group are discussed.
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页数：12
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