RT Book, Section
A1 Hough, Stuart W.
A1 Goudas, Leonidas C.
A1 Carr, Daniel B.
A2 Warfield, Carol A.
A2 Bajwa, Zahid H.
SR Print(0)
ID 3417392
T1 Chapter 46. Anesthetic Interventions in Cancer Pain
T2 Principles & Practice of Pain Medicine, 2e
YR 2004
FD 2004
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071443494
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3417392
RD 2024/04/18
AB In  this  chapter  we  present  a  broad  overview  of  a  variety  of  approaches  including,  but  not  limited  to,  anesthetic  interventions.  A  roster  of  excellent  clinicians  and  researchers  discuss  in  prior  chapters,  in  great  detail  a  variety  of  approaches  used  in  the  management  of  pain  in  general.  These  prior  approaches  are  used  for  the  management  of  pain  directly  attributable  to  cancer  as  well  as  pain  resulting  from  cancer  treatment.  We  feel  that  it  would  be  useful  to  the  reader  of  this  textbook  —  at  the  expense  of  some  overlap  with  other  chapters  —  to  present  a  broad  overview  and  synthesis  of  these  approaches  with  emphasis  on  the  unique  attributes  of  cancer  patients.  Patients  with  cancer  comprise  a  traditionally  undertreated  group.  Even  when  the  World  Health  Organization  (WHO)  guidelines  for  cancer  pain  treatment  are  followed  (See  Chapter  45,  Medical  Management  of  Cancer  Pain),  up  to  30%  of  patients  report  inadequate  analgesia.1,2  In  addition,  some  patients  with  adequate  analgesia  may  experience  intolerable  side  effects  from  opioids  and  other  pharmacologic  treatments.  This  chapter  first  addresses  the  role  of  psychological  and  physical  approaches  to  cancer  pain  management.  Then,  a  variety  of  palliative  procedures,  including  anesthetic,  radiologic,  and  neurosurgical  interventions,  are  presented.