Interventional pain control in cancer pain management

This book informs healthcare professionals about the range of interventionaltechniques available for first-rate cancer pain management, with evidence of efficacy, side effects, and management advice. The effective management of pain from cancer is a top priority for patients, carers and healthcare professionals, and has been the subject of extensive research. Approximately two-thirds of cancer patients will experience severe pain, and many of them will have more than one pain. However, because of the increasing number of available treatments for cancer, patients are surviving for longer periods, and are developingcomplex consequences of their cancer and its treatment, such ascentral and peripheral neuropathic pain syndromes. Approximately 8 - 10% of cancer pain remains unrelieved by conventional means.Interventional cancer pain management implies the use of invasive techniques,such as neuraxial (epidural, intrathecal and intracerebroventricular) drug administration, brachial and lumbar plexus blocks, autonomic blockade, neurolytic blocks and cordotomy. It can also include TENS, acupuncture and complementary therapies. This book describes specifically the difficult pain problems that are now faced in palliative care and highlights the need for greater collaboration between the disciplinesof pain medicine and palliative care. It refers to the psychological and spiritual needs of patients, and provides patient experience data on specialist techniques. The book is an invaluable resource for all healthcare professionals working in palliative care, pain management, and primary care toinform them about the range of interventional techniques available, with evidence of efficacy, side effects and management advice. INDICE: Setting the scene Difficult pain problems Interventional pain control: background and current role Pain mechanisms Neuraxial (epidural and intrathecal) infusions I: anatomy, pharmacokinetics, evidence-base and commonly used drugs Neuraxial (epidural and intrathecal) infusions II: patient selection, epidural versus intrathecal, equipment, description of the technique, complications, national use Practical nursing management of epidural and intrathecal infusions Peripheral blocks, plexus blocks, and intrathecal neurolysis Blocks of the sympathetic nervous system / autonomic blockade Cordotomy The use of peripheral nerve and spinal cord neuromodulation in cancer pain Transcutaneous Electrical Nerve Stimulation (TENS) and acupuncture The patient's perspective Appendix 1 - Body dermatomes

• ISBN: 978-0-19-921908-7
• Editorial: Oxford University
• Encuadernacion: Cartoné
• Páginas: 296
• Fecha Publicación: 01/12/2011
• Nº Volúmenes: 1
• Idioma: Inglés