Social participation in head and neck cancer survivors with swallowing disorder: World Health Organization Disability Assessment Schedule 2.0 study

In a prospective study of 167 patients with head and neck cancer, we assessed the causes and mechanisms of pain, as well as the efficacy and side effects of analgesic treatment, along World Health Organization (WHO) guidelines. The majority of patients had pain caused by cancer (83%) and/or treatment (28%), 4% had pain due to debility, and 7% had pain unrelated to cancer. Palliative antineoplastic treatment was performed in 32% of patients. Systemic analgesics were administered on 97% of a total of 8,106 treatment days, and coanalgesics or adjuvant drugs on 100%. The treatment proved to be very successful, as severe pain was experienced only during 5% of the observation period. In the absence of serious side effects, the most frequent symptoms observed were insomnia, dysphagia, anorexia, constipation, and nausea. The use of analgesic and adjuvant drugs along WHO guidelines to treat pain in head and neck cancer is highly effective and relatively safe.

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Validation of World Health Organization guidelines for pain relief in head and neck cancer. A prospective study.

Rehabilitation Oncology ◽

10.1097/01893697-199412020-00025 ◽

1994 ◽

Vol 12 (2) ◽

pp. 20

Author(s):

S Grond ◽

D Zech ◽

J Lynch ◽

C Diefenbach ◽

SA Schug ◽

...

Keyword(s):

Head And Neck Cancer ◽

Pain Relief ◽

Prospective Study ◽

World Health Organization ◽

Head And Neck ◽

Neck Cancer ◽

World Health ◽

Health Organization ◽

A Prospective Study

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Anaesthesia for head and neck surgery: United Kingdom National Multidisciplinary Guidelines

The Journal of Laryngology & Otology ◽

10.1017/s0022215116000384 ◽

2016 ◽

Vol 130 (S2) ◽

pp. S23-S27 ◽

Cited By ~ 10

Author(s):

P Charters ◽

I Ahmad ◽

A Patel ◽

S Russell

Keyword(s):

Intensive Care Unit ◽

Head And Neck Cancer ◽

Intensive Care ◽

Head And Neck ◽

Neck Cancer ◽

Neck Surgery ◽

World Health ◽

Operative Care ◽

Health Organization ◽

The Uk

AbstractThis is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The anaesthetic considerations for head and neck cancer surgery are especially challenging given the high burden of concurrent comorbidity in this patient group and the need to share the airway with the surgical team. This paper provides recommendations on the anaesthetic considerations during surgery for head and neck cancer.Recommendations• All theatre staff should participate in the World Health Organization checklist process. (R)• Post-operative airway management should be guided by local protocols. (R)• Patients admitted to post-operative care units with tracheal tubes in place should be monitored with continuous capnography. Removal for tracheal tubes is the responsibility of the anaesthetist. (R)• Anaesthetists should formally hand over care to an appropriately trained practitioner in the post-operative or intensive care unit. (G)• Intensive care unit staff looking after post-operative tracheostomies must be clear about which patients are not suitable for bag-mask ventilation and/or oral intubation in the event of emergencies. (R)

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