Breakthrough pain in cancer patients

被引:1
作者
Brede, Elmar-Marc [1 ]
机构
[1] Univ Wurzburg, Klin & Poliklin Anasthesiol, D-97070 Wurzburg, Germany
来源
ANASTHESIOLOGIE INTENSIVMEDIZIN NOTFALLMEDIZIN SCHMERZTHERAPIE | 2011年 / 46卷 / 02期
关键词
NONSTEROIDAL ANTIINFLAMMATORY DRUGS; BONE METASTASES; INCIDENT PAIN; PATHOPHYSIOLOGY; MANAGEMENT; THERAPY; BREAST;
D O I
10.1055/s-0031-1272880
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The treatment of cancer pain shows a special challenge in the ambulatory and stationary treatment of various medical departments. A mulifactorial design has to be established for the treatment of breakthrough pain episodes. The development of fast acting lipophilic opioids has improved the therapy of breakthrough pain. Combining these opioids with non-opioid analgetics, adjuvant drugs, interventional procedures, radiotherapy, orthotic devices and surgical /orthopedic interventions delivers a multimodal approach to manage breakthrough cancer pain. © Georg Thieme Verlag Stuttgart New York.
引用
收藏
页码:104 / 109
页数:6
相关论文
共 23 条
[1]   Interventions for preventing oral candidiasis for patients with cancer receiving treatment [J].
Clarkson, J. E. ;
Worthington, H., V ;
Eden, O. B. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2007, (01)
[2]   The effects of early or late neurolytic sympathetic plexus block on the management of abdominal or pelvic cancer pain [J].
de Oliveira, R ;
dos Reis, MP ;
Prado, WA .
PAIN, 2004, 110 (1-2) :400-408
[3]   Algorithm for neuropathic pain treatment: An evidence based proposal [J].
Finnerup, NB ;
Otto, M ;
McQuay, HJ ;
Jensen, TS ;
Sindrup, SH .
PAIN, 2005, 118 (03) :289-305
[4]   The epidemiology of cancer pain [J].
Goudas, LC ;
Bloch, R ;
Gialeli-Goudas, M ;
Lau, J ;
Carr, DB .
CANCER INVESTIGATION, 2005, 23 (02) :182-190
[5]   Cancer breakthrough pain characteristics and responses to treatment at a VA medical center [J].
Hwang, SS ;
Chang, VT ;
Kasimis, B .
PAIN, 2003, 101 (1-2) :55-64
[6]   Patient-controlled analgesia with nitrous oxide in cancer pain [J].
Keating, HJ ;
Kundrat, M .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1996, 11 (02) :126-130
[7]   Opioid Rotation: The Science and the Limitations of the Equianalgesic Dose Table [J].
Knotkova, Helena ;
Fine, Perry G. ;
Portenoy, Russell K. .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2009, 38 (03) :426-439
[8]   Malignant bone pain: Pathophysiology and treatment [J].
Mercadante, S .
PAIN, 1997, 69 (1-2) :1-18
[9]   Episodic (breakthrough) pain - Consensus conference of an expert working group of the European Association for Palliative Care [J].
Mercadante, S ;
Radbruch, L ;
Caraceni, A ;
Cherny, N ;
Kaasa, S ;
Nauck, F ;
Ripamonti, C ;
De Conno, F .
CANCER, 2002, 94 (03) :832-839
[10]   A comparison of intranasal fentanyl spray with oral transmucosal fentanyl citrate for the treatment of breakthrough cancer pain: an open-label, randomised, crossover trial [J].
Mercadante, S. ;
Radbruch, L. ;
Davies, A. ;
Poulain, P. ;
Sitte, T. ;
Perkins, P. ;
Colberg, T. ;
Camba, M. A. .
CURRENT MEDICAL RESEARCH AND OPINION, 2009, 25 (11) :2805-2815