Pain managements in pancreatic cancer patient with opioid-induced hyperalgesia: A case report
Anesthesia and Pain Medicine
;
: 110-113, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-72461
ABSTRACT
Opioids are generally used to treat severe cancer pain. Usually, it is common to increase the dose of opioids to maintain analgesia. Opioid-induced hyperalgesia (OIH) is a paradoxical response to opioid resulting in increased perception of pain rather than antinociceptive effect. A 64-year-old female with pancreatic cancer was suffering from whole abdominal pain. She took massive opioid therapy, however, her pain had been worse and widen in the 3 months. Radiologic imaging was performed to exclude metastatic cancer. The result was negative. We suspected OIH, and reduced the amount of opioids, then, added to adjuvant analgesics. And also we performed celiac plexus neurolysis with the use of alcohol and continuous epidural catheter insertion. Her numeric rating pain scale (NRS) decreased from 9/10 to 3/10. This case suggests that adjuvant analgesics and interventional treatments can resolve a OIH patient with intractable cancer pain.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neoplasias Pancreáticas
/
Estrés Psicológico
/
Dolor Abdominal
/
Plexo Celíaco
/
Catéteres
/
Manejo del Dolor
/
Hiperalgesia
/
Analgesia
/
Analgésicos
/
Analgésicos Opioides
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Anesthesia and Pain Medicine
Año:
2012
Tipo del documento:
Artículo
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