Pain managements in pancreatic cancer patient with opioid-induced hyperalgesia: A case report
Anesthesia and Pain Medicine
; : 110-113, 2012.
Article
em Ko
| WPRIM
| ID: wpr-72461
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Neoplasias Pancreáticas
/
Estresse Psicológico
/
Dor Abdominal
/
Plexo Celíaco
/
Catéteres
/
Manejo da Dor
/
Hiperalgesia
/
Analgesia
/
Analgésicos
/
Analgésicos Opioides
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2012
Tipo de documento:
Article