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Using a multimodal approach to manage difficult visceral cancer pain: A case study
Difficult visceral cancer pain is defined as pain that does not improve with conventional non-pharmacological and pharmacological strategies, including opioids and adjuvants, and occurs in up to 15% of patients with cancer. In oncological practice, we must be prepared to establish strategies for dea...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9986897/ https://www.ncbi.nlm.nih.gov/pubmed/36890802 http://dx.doi.org/10.1177/2050313X231157483 |
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author | Fernández, Angélica Rodríguez Cardona, Ximena Cardenas Rey, Claudia Jimena Moreno-Quijano, Catalina Rodriguez Martínez, Carlos Hernán |
author_facet | Fernández, Angélica Rodríguez Cardona, Ximena Cardenas Rey, Claudia Jimena Moreno-Quijano, Catalina Rodriguez Martínez, Carlos Hernán |
author_sort | Fernández, Angélica |
collection | PubMed |
description | Difficult visceral cancer pain is defined as pain that does not improve with conventional non-pharmacological and pharmacological strategies, including opioids and adjuvants, and occurs in up to 15% of patients with cancer. In oncological practice, we must be prepared to establish strategies for dealing with such complex cases. Different analgesic strategies have been described in the literature, including managing refractory pain through palliative sedation; however, this might become a dilemma from a clinical and bioethical point of view in end-of-life situations. We present the case of a young male patient with moderately differentiated intestinal-type adenocarcinoma of the left colon, with intra-abdominal sepsis, and for whom despite the multimodal treatment for difficult visceral cancer pain, the pain was refractory leading to palliative sedation. Difficult visceral cancer pain is a pathology that affects the quality of life of patients and is a challenge for pain specialists, for both pharmacological and non-pharmacological management. |
format | Online Article Text |
id | pubmed-9986897 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-99868972023-03-07 Using a multimodal approach to manage difficult visceral cancer pain: A case study Fernández, Angélica Rodríguez Cardona, Ximena Cardenas Rey, Claudia Jimena Moreno-Quijano, Catalina Rodriguez Martínez, Carlos Hernán SAGE Open Med Case Rep Case Report Difficult visceral cancer pain is defined as pain that does not improve with conventional non-pharmacological and pharmacological strategies, including opioids and adjuvants, and occurs in up to 15% of patients with cancer. In oncological practice, we must be prepared to establish strategies for dealing with such complex cases. Different analgesic strategies have been described in the literature, including managing refractory pain through palliative sedation; however, this might become a dilemma from a clinical and bioethical point of view in end-of-life situations. We present the case of a young male patient with moderately differentiated intestinal-type adenocarcinoma of the left colon, with intra-abdominal sepsis, and for whom despite the multimodal treatment for difficult visceral cancer pain, the pain was refractory leading to palliative sedation. Difficult visceral cancer pain is a pathology that affects the quality of life of patients and is a challenge for pain specialists, for both pharmacological and non-pharmacological management. SAGE Publications 2023-02-28 /pmc/articles/PMC9986897/ /pubmed/36890802 http://dx.doi.org/10.1177/2050313X231157483 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Fernández, Angélica Rodríguez Cardona, Ximena Cardenas Rey, Claudia Jimena Moreno-Quijano, Catalina Rodriguez Martínez, Carlos Hernán Using a multimodal approach to manage difficult visceral cancer pain: A case study |
title | Using a multimodal approach to manage difficult visceral cancer pain: A case study |
title_full | Using a multimodal approach to manage difficult visceral cancer pain: A case study |
title_fullStr | Using a multimodal approach to manage difficult visceral cancer pain: A case study |
title_full_unstemmed | Using a multimodal approach to manage difficult visceral cancer pain: A case study |
title_short | Using a multimodal approach to manage difficult visceral cancer pain: A case study |
title_sort | using a multimodal approach to manage difficult visceral cancer pain: a case study |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9986897/ https://www.ncbi.nlm.nih.gov/pubmed/36890802 http://dx.doi.org/10.1177/2050313X231157483 |
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