Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

High-tech pain management utilizing multiple analgesics--a case study

R R Pickett, S J Secor

    The American Journal of Hospice & Palliative Care
    |January 1, 1995
    PubMed
    Summary

    Intraspinal opioid infusions offer effective pain management for severe cancer pain, minimizing side effects. This case study highlights the multidisciplinary approach needed for challenging pain cases using spinal analgesia and multiple medications.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Outpatient oncology chemotherapy documentation tool.

    Oncology nursing forumยท1992
    See all related articles

    Area of Science:

    • Pain Management
    • Oncology
    • Pharmacology

    Background:

    • Intraspinal opioid delivery is a validated therapy for severe cancer pain.
    • Spinal opioid infusions provide effective analgesia with reduced central side effects compared to systemic administration.

    Observation:

    • Indications include escalating side effects or inadequate pain relief with oral/parenteral opioids.
    • A challenging case required a multidisciplinary approach involving intraspinal morphine, intravenous hydromorphone, and intravenous midazolam.

    Findings:

    • Effective management of intractable cancer pain was achieved through a combination of intraspinal analgesia and multiple intravenous medications.
    • The patient's complex pain required a tailored, multi-drug regimen.

    Related Experiment Videos

    Implications:

    • Oncology and hospice nurses face challenges in managing spinal analgesia and complex medication regimens.
    • This approach offers an effective modality for patients with otherwise intractable cancer pain, improving quality of life.