RT Book, Section A1 Du Pen, Stuart L. A1 Du Pen, Anna R. A2 Warfield, Carol A. A2 Bajwa, Zahid H. SR Print(0) ID 3421355 T1 Chapter 71. Neuraxial Drug Delivery 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=3421355 RD 2024/03/28 AB The use of neuraxial analgesia for the goal of functional analgesia is the next step beyond the optimum use of oral and transcutaneous analgesia. The goal of pain relief with functional restitution should be the guiding light of all approaches of analgesia. Once a patient with acute, chronic, or cancer-related pain has been prescribed a trial of opioids and adjuvant drugs, side effects having been either treated or avoided with opioid sequential trials, then consideration should be given to alternative delivery sources. Neuraxial analgesia, with either single agent or a combination of drugs, may allow the patient to achieve relief of intractable pain when opioid analgesia alone has its limits.