A Successful Palliative Care Intervention for Cancer Pain Refractory to Intrathecal Analgesia

被引：19

作者：

Reddy, Akhila ^{[1
]}

Hui, David ^{[1
]}

Bruera, Eduardo ^{[1
]}

机构：

[1] Univ Texas MD Anderson Canc Ctr, Dept Palliat Care & Rehabil Med, Houston, TX 77030 USA

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 2012年 / 44卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Pain; neoplasm; intrathecal analgesia; palliative care; psychological distress; COMPREHENSIVE MEDICAL-MANAGEMENT; RANDOMIZED CLINICAL-TRIAL; DRUG-RELATED TOXICITY; CLASSIFICATION-SYSTEM; SPINAL ANALGESIA; MORPHINE; OPIOIDS; VALIDATION; INFUSION; RELIEF;

D O I：

10.1016/j.jpainsymman.2011.07.010

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Intrathecal delivery of opioid medications has been increasingly used to treat cancer pain that is refractory to conventional oral opioid therapy. We present a patient with complex and refractory cancer pain who failed both oral and intrathecal opioid therapy but responded to the interdisciplinary palliative care intervention in the acute palliative care unit. His morphine equivalent daily dose decreased by 94% over a 10-day period, and he had better pain control and improved function. This case highlights the importance of addressing and treating the psychosocial distress that contributes to the total pain expression. J Pain Symptom Manage 2012;44:124-130. (C) 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

引用

页码：124 / 130

页数：7

共 35 条

[1] Serious Complications Associated with External Intrathecal Catheters Used in Cancer Pain Patients A Systematic Review and Meta-analysis [J].

Aprili, Daniel ;

Bandschapp, Oliver ;

Rochlitz, Christoph ;

Urwyler, Albert ;

Ruppen, Wilhelm .

ANESTHESIOLOGY, 2009, 111 (06) :1346-1355

[2] Evolving spinal analgesia practice in palliative care [J].

Baker, L ;

Lee, M ;

Regnard, C ;

Crack, L ;

Callin, S .

PALLIATIVE MEDICINE, 2004, 18 (06) :507-515

[3] RETRACTED: Comparative efficacy of epidural, subarachnoid, and intracerebroventricular opioids in patients with pain due to cancer - art. no. CD005178 (Retracted Article) [J].

Ballantyne, JC ;

Carwood, CM .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2005, (01)

[4] Spinal analgesia: where is the evidence? [J].

Bruera, Eduardo ;

Hui, David .

SUPPORTIVE CARE IN CANCER, 2010, 18 (10) :1237-1237

[5] Randomized clinical trial of an implantable drug delivery system [J].

Davis, MP ;

Walsh, D ;

Lagman, R ;

LeGrand, SB .

JOURNAL OF CLINICAL ONCOLOGY, 2003, 21 (14) :2800-2801

[6] SPINAL ANALGESIA IN TERMINAL CARE - RISK VERSUS BENEFIT [J].

DEVULDER, J ;

GHYS, L ;

DHONDT, W ;

ROLLY, G .

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1994, 9 (02) :75-81

[7] A "TNM" classification system for cancer pain: The Edmonton Classification System for Cancer Pain (ECS-CP) [J].

Fainsinger, Robin L. ;

Nekolaichuk, Cheryl L. .

SUPPORTIVE CARE IN CANCER, 2008, 16 (06) :547-555

[8]

Fainsinger RL, 2010, EUR J CANCER, V46, P2896, DOI 10.1016/j.ejca.2010.04.017

[9]

Hanks GW, 2001, BRIT J CANCER, V84, P587, DOI 10.1054/bjoc.2001.1680

[10]

Hanks GW., 2009, Oxford Textbook of Palliative Medicine, V3rd

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