scholarly journals Successful intrathecal neurolytic block for the management of cancer pain in a 10-year-old child: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Shogo Tashiro ◽  
Kohei Godai ◽  
Yukihisa Daitoku ◽  
Tomoyo Sato ◽  
Kei Enohata ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Cancer Pain ◽  
Patient Characteristics ◽  
Bowel Dysfunction ◽  
Cancer Pain Management ◽  
Case Presentation ◽  
Neurolytic Block ◽  
Bladder Bowel Dysfunction ◽  
The Right

Abstract Background Cancer pain management in children is challenging owing to their unique patient characteristics. We present the case of a 10-year-old girl whose cancer pain was successfully managed using an intrathecal neurolytic block. Case presentation The patient experienced severe cancer pain due to recurrent right ilium osteosarcoma. The tumor progressed rapidly despite chemoradiotherapy and gradually invaded the right lumbar plexus, which resulted in severe neuropathic pain in the right lower extremity. Systemic analgesics failed to attenuate the pain. We performed an intrathecal neurolytic block using 10% phenol-glycerol. The neurolytic block completely relieved her right lower extremity pain. After the block, the patient’s quality of life improved, and she spent her time with family. Conclusions The intrathecal neurolytic block successfully relieved the patient’s cancer pain. Successful intrathecal neurolytic blocks require meticulous pain assessment of individual patients, to avoid possible serious complications such as paresis/paralysis and bladder/bowel dysfunction.

Cancer pain management

2014 ◽  
Vol 155 (3) ◽  
pp. 93-99
Author(s):  
Péter Heigl
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Pain Relief ◽  
Life Expectancy ◽  
Cancer Pain ◽  
Cancer Pain Management ◽  
Medical Activity ◽  
Short Summary ◽  
Adequate Quality

Pain is a significant and alarming symptom of cancer seriously affecting the activity and quality of life of patients. Recent research proved that inadequate analgesia shortens life expectancy. Therefore, pain relief is not only a possibility but a professional, ethical and moral commitment to relieve patients from suffering, as well as ensure their adequate quality of life and human dignity. Proper pain relief can be achieved with medical therapy in most of the cases and the pharmacological alternatives are available in Hungary. Yet medical activity regarding pain relief is far from the desired. This paper gives a short summary of the guidelines on medical pain management focusing particularly on the use of opioids. Orv. Hetil., 2014, 155(3), 93–99.

Implementing Guidelines for Cancer Pain Management: Results of a Randomized Controlled Clinical Trial

1999 ◽  
Vol 17 (1) ◽  
pp. 361-361 ◽  
Author(s):  
Stuart L. Du Pen ◽  
Anna R. Du Pen ◽  
Nayak Polissar ◽  
Jennifer Hansberry ◽  
Beth Miller Kraybill ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
Pain Management ◽  
Cancer Pain ◽  
Symptom Management ◽  
Controlled Study ◽  
Cancer Pain Management ◽  
Randomized Controlled ◽  
Prospective Longitudinal

PURPOSE: Pain and symptom management is an integral part of the clinical practice of oncology. A number of guidelines have been developed to assist the clinician in optimizing comfort care. We implemented clinical guidelines for cancer pain management in the community setting and evaluated whether these guidelines improved care. PATIENTS AND METHODS: Eighty-one cancer patients, aged 37 to 76 years, were enrolled onto a prospective, longitudinal, randomized controlled study from the outpatient clinic settings of 26 western Washington–area medical oncologists. A multilevel treatment algorithm based on the Agency for Health Care Policy and Research Guidelines for Cancer Pain Management was compared with standard-practice (control) pain and symptom management therapies used by community oncologists. The primary outcome of interest was pain (Brief Pain Inventory); secondary outcomes of interest were all other symptoms (Memorial Symptom Assessment Scale) and quality of life (Functional Assessment of Cancer Therapy Scale). RESULTS: Patients randomized to the pain algorithm group achieved a statistically significant reduction in usual pain intensity, measured as slope scores, when compared with standard community practice (P < .02). Concurrent chemotherapy and patient adherence to treatment were significant mediators of worst pain. There were no significant differences in other symptoms or quality of life between the two treatment groups. CONCLUSION: This guideline implementation study supports the use of algorithmic decision making in the management of cancer pain. These findings suggest that comprehensive pain assessment and evidence-based analgesic decision-making processes do enhance usual pain outcomes.

Assessing the Quality of Cancer Pain Management

1988 ◽  
Vol 4 (3) ◽  
pp. 9-15 ◽  
Author(s):  
E. Ann Mohide ◽  
Joan A. Royle ◽  
Maureen Montemuro ◽  
Patricia Porterfield ◽  
John F. Scott ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Cancer Pain Management

Improving the Quality of Cancer Pain Management in an Academic Medical Center Emergency Department

2014 ◽  
Vol 18 (6) ◽  
pp. 626-629 ◽  
Author(s):  
Young Hwa Won ◽  
Yun Jung Choi ◽  
Shin Ahn ◽  
Jae-Lyun Lee ◽  
Jeong Yun Park ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Cancer Pain ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cancer Pain Management ◽  
Academic Medical

Educational program for medical residents in cancer pain management.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 198-198
Author(s):  
Shyam Ravisankar ◽  
Ela Eris ◽  
Alice Joy Cohen
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Educational Program ◽  
Medical Residents ◽  
Cancer Pain Management ◽  
Pharmacological Interventions ◽  
Online Questionnaire ◽  
Baseline Knowledge ◽  
Education Resource

198 Background: Studies have shown significant deficits in the knowledge of physicians in Cancer Pain Management (CPM). We implemented an educational program on CPM for medical residents with pre and post-testing to assess baseline knowledge and the improvement after education. Methods: The content of the lecture was derived from the Cancer Pain Education Resource (CAPER). It included assessment, non-pharmacological interventions, equi-analgesic conversions , titration, side effects, withdrawal, dependence and addiction. An online questionnaire was created to assess the baseline knowledge and the residents accessed it using their mobile phones. After the lecture the same was used to assess the improvement in knowledge. 22 residents from Newark Beth Israel Internal Medicine Residency Program participated in the lecture and the pre/post-tests. After the lecture, they were given a pocket card with opioid equi-analgesic dosing calculations.Two months later, the same questionnaire was used to assess the retained knowledge. Results: The pretest score was 71% and after the lecture it improved to 81%. After 2 months the score was 72%. Notably, the knowledge of equi-analgesic conversions had increased. 95 % of the residents were very satisfied with the lecture and wanted more education on CPM. Improvement in knowledge on specifics of CPM are shown in Table. Conclusions: One of the ways to improve CPM is to focus on education of residents. After a single lecture, there was improvement in all areas of deficiency.The use of simple tools like pocket cards can help to improve knowledge. Our plan is to expand this program to medical students and have additional lectures. We believe that these lectures will improve the quality of CPM in patients. [Table: see text]

Unequal Quality of Cancer Pain Management: Disparity in Perceived Control and Proposed Solutions

2007 ◽  
Vol 34 (6) ◽  
pp. 1121-1128 ◽  
Author(s):  
Jeanette A. McNeill ◽  
Janice Reynolds ◽  
Margaret L. Ney
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Perceived Control ◽  
Cancer Pain Management
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