Management with Epidural Catheter for Bone Metastatic Cancer Pain in a Dog

2014 ◽  
Vol 45 (2) ◽  
pp. 33-38
Author(s):  
Toshie ISERI ◽  
Tomoya HARAGUCHI ◽  
Hiroki IWASAKI ◽  
Shinpei NISHIKAWA ◽  
Kazuhito ITAMOTO ◽  
...  
2020 ◽  
Vol 45 (9) ◽  
pp. 696-701
Author(s):  
Uri Hochberg ◽  
Asaf Berger ◽  
Miri Atias ◽  
Rotem Tellem ◽  
Ido Strauss

IntroductionNeurosurgical ablative procedures can offer immediate and effective pain relief for patients suffering from refractory cancer pain. However, choosing the appropriate procedure for each patient may not be straightforward and warrants an interdisciplinary approach. The purpose of the current study was to evaluate the outcome of patients with cancer who were carefully selected for neurosurgical intervention by a dedicated interdisciplinary team composed of a palliative physician and nurse practitioner, a pain specialist and a neurosurgeon.MethodsA retrospective review was carried out on all patients who underwent neurosurgical ablative procedures in our institute between March 2015 and September 2019. All patients had advanced metastatic cancer with unfavorable prognosis and suffered from intractable oncological pain. Each treatment plan was devised to address the patients’ specific pain syndromes.ResultsA total of 204 patients were examined by our service during the study period. Sixty-four patients with localized pain and nineteen patients with diffuse pain syndromes were selected for neurosurgical interventions, either targeted disconnection of the spinothalamic tract or stereotactic cingulotomy. Substantial pain relief was reported by both groups immediately (cordotomy: Numerical Rating Scale (NRS) 9 ≥1, p=0.001, cingulotomy: NRS 9 ≥2, p=0.001) and maintained along the next 3-month follow-up visits.ConclusionsAn interdisciplinary collaboration designated to provide neurosurgical ablative procedures among carefully selected patients could culminate in substantial relief of intractable cancer pain.Trial registration numberIR0354-17.


Pain Medicine ◽  
2001 ◽  
Vol 2 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Gudarz Davar

Cancer ◽  
1987 ◽  
Vol 59 (5) ◽  
pp. 986-993 ◽  
Author(s):  
Stuart L. Dupen ◽  
Donald G. Peterson ◽  
Armen C. Bogosian ◽  
Donald H. Ramsey ◽  
Connie Larson ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248755
Author(s):  
Eleonora Borelli ◽  
Sarah Bigi ◽  
Leonardo Potenza ◽  
Fabrizio Artioli ◽  
Sonia Eliardo ◽  
...  

Early palliative/supportive care (ePSC) is a medical intervention focused on patient’s needs, that integrates standard oncological treatment, shortly after a diagnosis of advanced/metastatic cancer. ePSC improves the appropriate management of cancer pain. Understanding the semantic and emotional impact of the words used by patients to describe their pain may further improve its assessment in the ePSC setting. Psycholinguistics assumes that the semantic and affective properties of words affect the ease by which they are processed and comprehended. Therefore, in this cross-sectional survey study we collected normative data about the semantic and affective properties of words associated to physical and social pain, in order to investigate how patients with cancer pain on ePSC process them compared to healthy, pain-free individuals. One hundred ninety patients and 124 matched controls rated the Familiarity, Valence, Arousal, Pain-relatedness, Intensity, and Unpleasantness of 94 words expressing physical and social pain. Descriptive and inferential statistics were performed on ratings in order to unveil patients’ semantic and affective representation of pain and compare it with those from controls. Possible effects of variables associated to the illness experience were also tested. Both groups perceived the words conveying social pain as more negative and pain-related than those expressing physical pain, confirming previous evidence of social pain described as worse than physical pain. Patients rated pain words as less negative, less pain-related, and conveying a lower intense and unpleasant pain than controls, suggesting either an adaptation to the pain experience or the role played by ePSC in improving patients’ ability to cope with it. This exploratory study suggests that a chronic pain experience as the one experienced by cancer patients on ePSC affects the semantic and affective representation of pain words.


2019 ◽  
Vol 13 (12) ◽  
pp. 468-472
Author(s):  
Thomas J. Gerber ◽  
Marie Friedrich ◽  
Renate Herren Gerber ◽  
Sabine Sartoretti-Schefer ◽  
Michael T. Ganter

1988 ◽  
Vol 67 (12) ◽  
pp. 1159???1161 ◽  
Author(s):  
James E. Downing ◽  
Eric H. Busch ◽  
Peter M. Stedman

1987 ◽  
Vol 67 (3) ◽  
pp. A245-A245 ◽  
Author(s):  
M. Shulman

1990 ◽  
Vol 13 (3) ◽  
pp. 176-182 ◽  
Author(s):  
Anna R. Williams ◽  
Kelli E. Beaulaurier ◽  
Debbie L. Seal

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