Cancer pain control by infusion techniques in the home situation in the northern Netherlands: An innovative project on the use of medical technology in the home situation

Boersma, F. P.; Bosma, Egbert; Giezen, Leontien M.; Theuvenet, Peter J.

doi:10.1016/s0885-3924(06)80007-2

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…This study ran parallel to a number of cancer pain control studies in the Netherlands which aimed to make substantial contributions to quality improvement and to the organisation of cancer pain control in the Netherlands using spinal infusion techniques 10–12 . The purpose was to manage pain adequately in a home‐care setting.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency Treatment in the Netherlands

Dasselaar

2002

Pain Practice

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A national enquiry was developed by the Pain Control Department of the Dutch Society of Anesthesiology (NVA) in co-operation with the National Organisation for Quality Assurance in Hospitals (CBO). A questionnaire for retrospective collection of invasive pain control data was sent to all (147) Dutch hospitals as part of the "Quality Assurance of Anesthesiological Pain Control Study" which took place from 1991 to 1997. The questionnaire related to the organisation of pain departments, availability of personnel, material and space facilities, use of treatment protocols, type and number of procedures carried out in cancer and non-cancer pain management during a 1 year period (1990-1991). The response rate to the enquiry was 98 per cent; this high response rate was important to evaluate the status of anesthesiological pain control in The Netherlands. During the study period 92 per cent of the respondents carried out 9,700 invasive cancer pain procedures; 85 per cent of the respondents were active in the field of chronic non-cancer pain control and were responsible for approximately 63,000 procedures.

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Section: Discussionmentioning

confidence: 99%

Radiofrequency Treatment in the Netherlands

Dasselaar

2002

Pain Practice

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Spinal analgesia in terminal care: Risk versus benefit

Devulder

Ghys

Dhondt

et al. 1994

Journal of Pain and Symptom Management

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Cancer pain treatment is well established. The World Health Organization provides clinicians an "analgesic ladder" scheme to optimize cancer pain treatment. At the beginning of the pain treatment, oral analgesic administration is preferred. The analgesic dose must be individualized. Many published papers describe the spinal administration of opioids in combination with various other drugs such as bupivacaine in selected patients with cancer pain. Although complications have been reported to be few, some recent reports debate this idea. We first describe a population of 92 cancer patients, 13 of whom received intrathecal morphine. We then present our experience with a separate group of 33 cancer patients who were also managed using intrathecal morphine. Based on this experience, the generally accepted indications for the technique appeared to be justified. Concern about spinal infection is well considered, however. Three out of those patients developed meningitis, a complication rate that is far too high.

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Neuraxial techniques for cancer pain: An opinion about unresolved therapeutic dilemmas*1

Mercadante

1999

Regional Anesthesia and Pain Medicine

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A subcutaneous tunnelling and fixation of the catheter, bacterial filters, minimum changes of tubings, weekly exit site care, site protection, and monitoring for any signs of infection are suggested for advanced cancer patients. Areas still needing clarification include the optimum use of spinal adjuvants, the appropriate spinal morphine-bupivacaine ratio, methods to improve spinal opioid responsiveness, and long-term catheter management during home-care programs.

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Cancer pain control by infusion techniques in the home situation in the northern Netherlands: An innovative project on the use of medical technology in the home situation

Cited by 4 publications

References 2 publications

Radiofrequency Treatment in the Netherlands

Radiofrequency Treatment in the Netherlands

Spinal analgesia in terminal care: Risk versus benefit

Neuraxial techniques for cancer pain: An opinion about unresolved therapeutic dilemmas*1

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