RESUMO
Treatment of cancer pain includes invasive techniques of pain therapy if necessary. Here we report the management of a 55-year-old female patient with penetrating rectal cancer using continuous lumbal epidural anesthesia. After placement and dose-finding our patient was discharged from hospital and further treatment occurred at home.
Assuntos
Anestesia Epidural , Dor/tratamento farmacológico , Dor/etiologia , Neoplasias Retais/complicações , Assistência Ambulatorial , Amidas/administração & dosagem , Amidas/uso terapêutico , Analgésicos Opioides/administração & dosagem , Analgésicos Opioides/uso terapêutico , Anestésicos Locais/administração & dosagem , Anestésicos Locais/uso terapêutico , Infecções Bacterianas/prevenção & controle , Cateterismo/efeitos adversos , Relação Dose-Resposta a Droga , Feminino , Humanos , Pessoa de Meia-Idade , Dor/patologia , Qualidade de Vida , Neoplasias Retais/patologia , Ropivacaina , Sufentanil/administração & dosagem , Sufentanil/uso terapêuticoRESUMO
Providing an acute pain service means accumulation of a large amount of data. The alleviation of data collection, improvement of data quality and data analysis plays a pivotal role. The electronic medical record (EMR) is gaining more and more importance in this context and is continuously spreading in clinical practice. Up to now only a few commercial softwares are available that specifically fit to the needs of an acute pain service. Here we report the development and implementation of such a program (Schmerzvisite, Medlinq, Hamburg, Germany) in the acute pain service of a University Hospital.