Liječnički vjesnik, Vol. 142 No. 5-6, 2020.
Original scientific paper
https://doi.org/10.26800/LV-142-5-6-28
Regional anesthesia techniques in cancer pain management
Livija Šakić
; Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu, Klinička bolnica Sveti Duh, Zagreb
Miroslav Župčić
; Klinika za anesteziologiju, intenzivnu medicinu i liječenje boli, Medicinski fakultet Sveučilišta u Rijeci, Klinički bolnički centar Rijeka 3 Katedra za fiziologiju, imunologiju i patofiziologiju, Medicinski fakultet Sveučilišta u Rijeci 4 Medicinski fakultet Sveučilišta „Josip Juraj Strossmayer” u Osijeku
Ivan Šklebar
; Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu, Klinička bolnica Sveti Duh, Zagreb
Tatjana Šimurina4,6,7
; Medicinski fakultet Sveučilišta „Josip Juraj Strossmayer” u Osijeku, Odjel za anesteziologiju, reanimatologiju i intenzivnu medicinu, Sveučilište u Zadru, Opća bolnica Zadar, Zadar 7 Odjel za zdravstvene studije, Sveučilište u Zadru
Kata Šakić Zdravčević5,8
; Hrvatsko katoličko sveučilište, Zagreb
Abstract
Pharmacological therapy is the mainstay of treating cancer pain, but other strategies can also be integrated during the course of the disease. Control of pain can be achieved by regional anesthesia techniques
using chronically implanted catheters providing interruption of nociceptive pathways responsible for pain transmission to the central nervous system. Placing catheters at different sites for administration of analgesics in patients with intractable (neuropathic) cancer pain provides adequate pain relief and has to be proposed before considering more destructive techniques. The aim of this review article is cancer pain management by using regional invasive techniques.
Keywords
CANCER PAIN – drug therapy; ANALGESICS, OPIOID – adverse effects, therapeutic use; MORPHINE – adverse effects, therapeutic use; ANESTHETICS, LOCAL – therapeutic use; ANALGESIA, EPIDURAL; PAIN, INTRACTABLE – therapy; VISCERAL PAIN – etiology, therapy; NERVE BLOCK; CATHETERS, INDWELLING; CORDOTOMY – adverse effects; PALLIATIVE CARE – methods
Hrčak ID:
240265
URI
Publication date:
29.6.2020.
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