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Pain management.

Mario De Pinto1, Peter J Dunbar, W Thomas Edwards

  • 1Department of Anesthesiology, University of Washington Harborview Medical Center, Box 356540, 325 9th Avenue, Seattle, WA 98104, USA. mdepinto@u.washington.edu

Anesthesiology Clinics
|February 21, 2006
PubMed
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This article discusses managing moderate to severe end-of-life pain using strong opioids, adjuvant analgesics, and interventional pain management techniques, often informed by cancer patient studies.

Area of Science:

  • Palliative Care
  • Pain Management
  • Oncology

Background:

  • End-of-life pain is a significant challenge impacting patient quality of life.
  • Effective pain management is crucial for terminally ill patients, though not always cancer-related.
  • Cancer patient studies often serve as a model for understanding and treating end-of-life pain.

Purpose of the Study:

  • To provide comprehensive information on managing moderate to severe pain in end-of-life patients.
  • To discuss the role of strong opioids and adjuvant analgesics in palliative pain control.
  • To highlight frequently used interventional pain management strategies.

Main Methods:

  • Review of literature focusing on pain management in terminally ill patients.
  • Discussion of pharmacological interventions, including opioids and adjuvants.

Related Experiment Videos

  • Exploration of interventional pain management techniques.

    • Main Results:

    • Strong opioids are a cornerstone for managing severe end-of-life pain.
    • Adjuvant analgesics can enhance pain relief and manage specific pain types.
    • Interventional techniques offer additional options for refractory pain.

    Conclusions:

    • A multimodal approach combining pharmacotherapy and interventions is key for effective end-of-life pain management.
    • Understanding pain mechanisms, often informed by cancer models, is vital.
    • Optimizing pain control improves patient comfort and quality of life during the end of life.