Effects of palliative intrathecal analgesia on patients with refractory cancer bone pain

被引：0

作者：

Haraga, Isao ^{[1
,2
]}

Kosugi, Toshifumi ^{[3
]}

Sadashima, Eiji ^{[4
]}

Yumiba, Tomoko ^{[3
]}

Kubo, Mayuko ^{[3
]}

Ishikawa-Konishi, Asako ^{[3
,5
]}

Akiyoshi, Kozaburo ^{[1
]}

机构：

[1] Fukuoka Univ, Fac Med, Dept Anesthesiol, 7-45-1 Nanakuma,Jonan Ku, Fukuoka, Fukuoka 8140180, Japan

[2] Kitakyushu Municipal Med Ctr, Dept Anesthesiol, 2-1-1 Bashaku,Kokurakita Ku, Kitakyushu, Fukuoka 8028561, Japan

[3] Saga Ken Med Ctr Koseikan, Dept Palliat Care, 400 Nakabaru, Saga, Saga 8408571, Japan

[4] Saga Ken Med Ctr Koseikan, Med Res Inst, 400Nakabaru, Saga, Saga 8408571, Japan

[5] Tachikawa Home Care Clin, 5-71-16 Saiwai Cho, Tachikawa, Tokyo 1900002, Japan

来源：

JOURNAL OF ANESTHESIA | 2024年 / 38卷 / 03期

关键词：

Palliative care; Cancer pain; Bone Metastasis; Spinal injections; RANDOMIZED CLINICAL-TRIAL; COMPREHENSIVE MEDICAL-MANAGEMENT; UNRESECTABLE PANCREATIC-CANCER; DRUG-RELATED TOXICITY; LONG-TERM; CELIAC PLEXUS; SURVIVAL; SYSTEM; IMPACT; BUPIVACAINE;

D O I：

10.1007/s00540-024-03338-0

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

This study examined the effects of intrathecal analgesia (ITA) using an extracorporeal pump with a subcutaneous port system in cancer patients with bone metastasis. Among the patients who died of cancer with bone metastasis at the palliative care unit of our institution, 11 who received ITA were selected. Changes in pain, opioid doses, the palliative prognostic index (PPI), and Eastern Cooperative Oncology Group Performance Scale-after ITA were assessed. Pain, opioid doses, and PPI decreased after ITA (P = 0.002, 0.002, and 0.017). ITA for cancer patients with increased PPI due to refractory cancer bone pain decreased pain, opioid doses, and PPI.

引用

页码：405 / 411

页数：7

共 50 条

[1] Effects of palliative intrathecal analgesia on patients with refractory cancer bone pain
Isao Haraga
Toshifumi Kosugi
Eiji Sadashima
Tomoko Yumiba
Mayuko Kubo
Asako Ishikawa-Konishi
Kozaburo Akiyoshi
Journal of Anesthesia, 2024, 38 : 405 - 411
[2] A Successful Palliative Care Intervention for Cancer Pain Refractory to Intrathecal Analgesia
Reddy, Akhila
Hui, David
Bruera, Eduardo
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2012, 44 (01) : 124 - 130
[3] Intrathecal analgesia for refractory cancer pain
Newsome, Scott
Frawley, Bridget K.
Argoff, Charles E.
CURRENT PAIN AND HEADACHE REPORTS, 2008, 12 (04) : 249 - 256
[4] Intrathecal analgesia for refractory cancer pain
Scott Newsome
Bridget K. Frawley
Charles E. Argoff
Current Pain and Headache Reports, 2008, 12 : 249 - 256
[5] Intrathecal Analgesia for Refractory Pain
Alhujairi, Mohammed
Huni, Gerard
Bracco, David
Asenjo, Juan Francisco
JOURNAL OF PALLIATIVE CARE, 2010, 26 (03) : 222 - 222
[6] Effect of Intrathecal Dexmedetomidine on Spinal Morphine Analgesia in Patients with Refractory Cancer Pain
Liu, Hong-jun
Gao, Xian-zhong
Liu, Xiao-ming
Xia, Ming
Li, Wei-yan
Jin, Yi
JOURNAL OF PALLIATIVE MEDICINE, 2014, 17 (07) : 837 - 840
[7] Epidural and intrathecal analgesia is effective in treating refractory cancer pain
Burton, AW
Rajagopal, A
Shah, HN
Mendoza, T
Cleeland, C
Hassenbusch, SJ
Arens, JF
PAIN MEDICINE, 2004, 5 (03) : 239 - 247
[8] Effects of Intraperitoneal and Intrathecal Morphine Analgesia on the Expression of μ-Opioid Receptors in Bone Cancer Pain Rats
Liu, Wei
Liu, Heqi
Zhang, Zongde
Huang, Jiapeng
DOSE-RESPONSE, 2019, 17 (04):
[9] Intrathecal Analgesia for Cancer Pain: Externalised Intrathecal Catheters
Chua, Nicholas H. L.
van Dongen, Robert
Vissers, Kris C.
ANNALS ACADEMY OF MEDICINE SINGAPORE, 2010, 39 (11) : 879 - 880
[10] Intrathecal Analgesia in Patients with Cancer Pain - An Audit in a Tertiary Institution
Pasutharnchat, Koravee
Tan, Kian-Hian
Mohamed, Abdul Hadi
Ho, Kok-Yuen
ANNALS ACADEMY OF MEDICINE SINGAPORE, 2009, 38 (11) : 943 - 946

← 1 2 3 4 5 →