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J Pain Symptom Manage · May 2010
Case ReportsChallenges associated with spinal opioid therapy for pain in patients with advanced cancer: a report of three cases.
- Sriram Yennurajalingam, Rony Dev, Paul W Walker, Suresh K Reddy, and Eduardo Bruera.
- Department of Palliative Care and Rehabilitation Medicine, The University of Texas, M. D. Anderson Cancer Center, Houston, Texas 77030, USA. syennu@mdanderson.org
- J Pain Symptom Manage. 2010 May 1;39(5):930-5.
AbstractIntraspinal opioid therapy has been increasingly used for the management of cancer pain refractory to traditional treatment. However, this approach may present challenges in patients with advanced cancer. Three cases are presented that highlight the challenges associated with using neuraxial analgesia to manage cancer pain that was felt to be "refractory" to conventional treatment. Before an invasive procedure, such as placement of a permanent intrathecal opioid delivery system, a rigorous assessment and treatment of total pain (physical, psychological, spiritual, social, and practical) by an interdisciplinary team would be prudent.Copyright 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
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