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Interventional Techniques to Management of Cancer-Related Pain: Clinical and Critical Aspects
Geana Paula Kurita1,2, Per Sjøgren3,4, Pål Klepstad5,6
1Palliative Research Group, Department of Oncology, Rigshospitalet Copenhagen University Hospital, 2100 Copenhagen, Denmark. geana.kurita@regionh.dk.
Abstract:
Interventional techniques to manage cancer-related pain may be efficient treatment modalities in patients unresponsive or unable to tolerate systemic opioids. However, indication and selection of the right technique demand knowledge, which is still incipient among clinicians. The present article summarizes the current evidence regarding the five most essential groups of interventional techniques to treat cancer-related pain: Neuraxial analgesia, minimally invasive procedures for vertebral pain, sympathetic blocks for abdominal cancer pain, peripheral nerve blocks, and percutaneous cordotomy. Furthermore, indication, mechanism, drug agents, contraindications, and complications of the main techniques of each group are discussed.
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