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
收藏
页码：405 / 411
页数：7
相关论文
共 50 条
  • [41] CHRONIC REFRACTORY PAIN IN CANCER-PATIENTS - USEFULNESS OF INTRATHECAL LYSINE ACETYLSALICYLATE IN 60 CASES
    PELLERIN, M
    HARDY, F
    ABERGEL, A
    BOULE, D
    PALACCI, JH
    BABINET, P
    WINGTIN, LN
    GLOWINSKI, J
    AMIOT, JF
    MECHALI, D
    COLBERT, N
    STARKMAN, M
    PRESSE MEDICALE, 1987, 16 (30): : 1465 - 1468
  • [42] Safety and Efficacy of Surgical Implantation of Intrathecal Drug Delivery Pumps in Patients With Cancer With Refractory Pain
    Winston, Graham M.
    Zimering, Jeffrey H.
    Newman, Christopher W.
    Reiner, Anne S.
    Manalil, Noel
    Kharas, Natasha
    Gulati, Amitabh
    Rakesh, Neal
    Laufer, Ilya
    Bilsky, Mark H.
    Barzilai, Ori
    NEUROSURGERY, 2024, 95 (05) : 1072 - 1081
  • [43] BONE PAIN PALLIATION WITH SR-89 IN BREAST-CANCER PATIENTS WITH BONE METASTASES AND REFRACTORY BONE PAIN
    BERNA, L
    CARRIO, I
    ALONSO, C
    FERRE, J
    ESTORCH, M
    TORRES, G
    EUROPEAN JOURNAL OF NUCLEAR MEDICINE, 1995, 22 (10): : 1101 - 1104
  • [44] BONE PAIN PALLIATION WITH SR-89 IN BREAST-CANCER PATIENTS WITH BONE METASTASES AND REFRACTORY BONE PAIN
    BERNA, L
    CARRIO, I
    ESTORCH, M
    TORRES, G
    JOURNAL OF NUCLEAR MEDICINE, 1994, 35 (05) : P236 - P237
  • [45] Methadone Rotation for Cancer Patients with Refractory Pain in a Palliative Care Unit: An Observational Study
    Rhondali, Wadih
    Tremellat, Flora
    Ledoux, Mathilde
    Ciais, Jean-Francois
    Bruera, Eduardo
    Filbet, Marilene
    JOURNAL OF PALLIATIVE MEDICINE, 2013, 16 (11) : 1382 - 1387
  • [46] Palliative care with cervical intrathecal infusion and external pump for a late-stage cancer patient with refractory pain A case report
    Ju, Yanxin
    Tian, Demin
    Tan, Yanqin
    Fu, Zhijian
    MEDICINE, 2018, 97 (04)
  • [47] Dexmedetomidine Combined With Patient-Controlled Analgesia for Palliative Sedation in Terminal-Stage Cancer Patients With Refractory Pain: A Retrospective Analysis of Nine Cases
    Li, Na
    Wang, Yumei
    Cui, Meng
    PAIN RESEARCH & MANAGEMENT, 2024, 2024
  • [48] CONTINUOUS INTRATHECAL ANALGESIA WITH OPIOID LOCAL-ANESTHETIC MIXTURE FOR CANCER PAIN
    GOUCKE, R
    ANAESTHESIA AND INTENSIVE CARE, 1993, 21 (02) : 222 - 223
  • [49] Continuous intrathecal meperidine for severe refractory cancer pain - A case report
    Souter, KJ
    Davies, JM
    Loeser, JD
    Fitzgibbon, DR
    CLINICAL JOURNAL OF PAIN, 2005, 21 (02): : 193 - 196
  • [50] Refractory Cancer Pain and Intrathecal Therapy: Critical Review of a Systematic Review
    Mercadante, Sebastiano
    PAIN AND THERAPY, 2023, 12 (03) : 645 - 654
12345