Neuraxial infusion in the management of cancer pain.
نویسنده
چکیده
Pain due to malignancy can be controlled through simple means in most patients. In certain refractory cases, however, the chronic delivery of analgesics to the epidural or subarachnoid space may be appropriate. This review will discuss criteria for patient selection for neuraxial drug delivery, the technologic systems available for neuraxial drug delivery, and criteria for selection of the appropriate technology in the individual patient.
منابع مشابه
Neuraxial techniques for cancer pain: an opinion about unresolved therapeutic dilemmas.
BACKGROUND AND OBJECTIVES Epidural and intrathecal techniques are well established for minimizing cancer pain. However, several issues remain unresolved. METHODS A review of studies published in the last 10 years regarding neuraxial techniques in cancer pain management was made. The following issues were assessed: appropriate indications; techniques and delivery systems; conversion from syste...
متن کاملComplications of neuraxial infusion in cancer patients.
Intraspinal drug delivery systems can be effective in controlling intractable pain. However, before these invasive pain therapies are initiated and to avoid or minimize any complications associated with their use, there must be a thorough understanding of the etiology of the pain, the underlying cancer, and antineoplastic therapy. For example, the assumption that intraspinal cannulation is cont...
متن کاملIntrathecal analgesia for cancer pain: externalised intrathecal catheters.
Dear Editor, We thank the authors for a comprehensive review1 on the role of interventional pain therapies used in cancer pain as well as a informative local audit using the intrathecal catheter (PORT-A-CATH® IT) implantable system (Deltec Inc, USA).2 Our comments are directed at the neuraxial delivery of drugs in both articles. We agree that the most widely accepted indications for intrathecal...
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PURPOSE OF REVIEW To discuss and compare the more commonly used truncal blocks with neuraxial techniques in children undergoing a variety of thoracic, abdominal and urological procedures. RECENT FINDINGS Owing to the advent of ultrasonography and its increasing use in regional anesthesia, there has been a renewed interest in implementing these techniques in children for intraoperative and pos...
متن کاملEpidural Infusion of Morphine and Levobupivacaine through a Subcutaneous Port for Cancer Pain Management
BACKGROUND To manage intractable cancer pain, an alternative to systemic analgesics is neuraxial analgesia. In long-term treatment, intrathecal administration could provide a more satisfactory pain relief with lower doses of analgesics and fewer side-effects than that of epidural administration. However, implantable drug delivery systems using intrathecal pumps in Korea are very expensive. Cons...
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ورودعنوان ژورنال:
- Oncology
دوره 13 5 Suppl 2 شماره
صفحات -
تاریخ انتشار 1999