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Related Experiment Videos

Implementation of an anesthesia pain management service program

K Holritz, A Lucas

    Cancer Practice
    |July 1, 1993
    PubMed
    Summary
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    Effective cancer pain management is crucial. This study highlights the successful implementation of an acute pain service using patient-controlled analgesia (PCA) and epidural analgesia for advanced cancer patients.

    Area of Science:

    • Oncology
    • Pain Management
    • Anesthesiology

    Background:

    • Pain is a significant symptom for most advanced cancer patients.
    • Effective pain management is a priority in oncology care.
    • Limited data exists on advanced pain management techniques in cancer patients.

    Purpose of the Study:

    • To describe the establishment and components of a pain management program at Memorial Sloan-Kettering Cancer Center.
    • To evaluate the role of patient-controlled analgesia (PCA) and epidural analgesia in cancer pain management.
    • To provide recommendations for organizing pain management services in an oncology setting.

    Main Methods:

    • Institution of a comprehensive pain management program.
    • Utilization of patient-controlled analgesia (PCA) and epidural analgesia.

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  • Involvement of primary nurses and a multidisciplinary team.

    • Main Results:

    • The program successfully addressed the needs of patients with cancer pain.
    • Patient-controlled analgesia (PCA) and epidural analgesia were found to be safe and effective.
    • Key components included service organization, primary nurse reliance, and multidisciplinary team involvement.

    Conclusions:

    • An acute pain service plays a vital role in managing cancer pain.
    • Patient-controlled analgesia (PCA) and epidural analgesia are valuable modalities for cancer patients.
    • Multidisciplinary collaboration enhances the effectiveness of cancer pain management programs.