Management of cancer pain

Lévy, Michaël; Samuel, Thomas A.

doi:10.1053/j.seminoncol.2005.02.004

Cited by 33 publications

(20 citation statements)

References 112 publications

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“…B. Schmerz, Übelkeit, Erbrechen, Agitation, Dyspnoe), der Umgang mit Krisensituationen sowie ethische Fragestellungen beispielsweise bezüglich Therapieindikation bzw. -reduktion sind in unterschiedlichen Bereichen der Anäs-thesiologie in der täglichen Routine gegeben [3,5,11,12,16,17,18,19,22,23,32]. Eine Übertragbarkeit anästhesiologisch-therapeutischer Optionen ist -allerdings mit zusätzlichen palliativmedizinischen Aspekten (beispielsweise Berücksichtigung psychosozialer und spiritueller Faktoren) -in der Palliativmedizin durchaus denkbar.…”

Section: Vergleich Der Weiterbildungsinhalte Anästhesiologischer Zusaunclassified

“…Die Anästhesiologie kann mit ihren einzelnen Subspezialisierungen und weitreichenden Erfahrungen in der Kooperation mit anderen Fachdisziplinen und Professionen für eine solche Therapiekoordination hilfreich sein [4,5,9,11,16,17,18,20,37]. Aufgrund der bereits bestehenden Vielseitigkeit des Faches und der breiten fachlichen Herausforderungen in der täglichen Klinikroutine sollte die Palliativmedizin für Anästhesisten als koordinierende Instanz keine unlösbare Aufgabe darstellen.…”

Section: Bedeutung Einer Anästhesiologischen Abteilung Für Die Palliaunclassified

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Palliativmedizin

et al. 2009

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Palliative medicine has progressed during recent years to an independent medical faculty within the German health system. Despite this development palliative care systems for out-of-hospital and in-hospital palliative care are still insufficient in Germany so that the development of necessary resources must be considered as not yet completed. To support the further national development palliative medicine can be temporarily or permanently coupled to existing departments, which can be advantageous for all concerned and last but not least be profitable to patients and their relatives. Possibilities for participation of anaesthesiologists in this area of medical care are discussed in the study reported here. Anaesthesiologists have always historically been represented in palliative medical departments, e.g. as pain specialists. In the following investigation the special possibilities of anaesthesia departments for supporting the education and development of in-hospital and out-of hospital palliative medical care departments are reported. Previous experience of co-operation between these two departments is well established. Departments of palliative medicine depend on a well working interdisciplinary co-operation between different medical disciplines (e.g. anaesthesiology, radiotherapy, surgery and oncology) and several medical professions (e.g. physicians, nurses, psychologists). The aim of palliative care therapy is to be responsible for the best possible therapy for cancer patients and to give support to their care-giving relatives. Due to the increasing establishment of palliative care procedures in Germany, departments of anaesthesiology should actively take part in the further development. Part of the responsibility of most anaesthesia departments is to practice pain management and critical care medicine, which are reasons why anaesthesiologists are predestined to be part of the system for palliative care patients and their relatives. Anaesthesia departments can be responsible for the organization of in-hospital and out-of-hospital palliative medicine and palliative care. The integration of anaesthesiological expertise into palliative medicine departments and vice versa can be a great opportunity for both medical departments and therefore represents a worthwhile engagement.

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Section: Vergleich Der Weiterbildungsinhalte Anästhesiologischer Zusaunclassified

Section: Bedeutung Einer Anästhesiologischen Abteilung Für Die Palliaunclassified

Palliativmedizin

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“…Éstas definen la secuencia del tratamiento en relación con la intensidad del dolor y la eficacia de los analgésicos. Debe entenderse que: a) la utilización de un escalón terapéutico obedece a la ineficacia de los fármacos previos en el control completo del dolor; b) se debe usar los analgési-cos pautados y de forma continua para conseguir una situación basal de ausencia de dolor; c) se debe agegar un coanalgésico si el dolor es neuropático, y d) las dosis de los opiáceos del tercer escalón deben incrementarse gradualmente hasta obtener un control completo del dolor, y no tienen límite de dosis [6][7][8] .…”

Section: Tratamiento Del Dolor Oncológico Crónico Aspectos Generalesunclassified

“…Especialmente susceptibles a ello son el estreñimiento y los vómitos al inicio del tratamiento en las personas mayores. La tabla 5 recoge las directrices generales para la corrección de los efectos secundarios más frecuentes 7,8,18 .…”

Section: Control De Los Efectos Secundarios De Los Opiáceosunclassified

“…Controversias sobre la utilización de la escala analgésica de la OMS treñimiento, es una de las principales razones para seguir graduando el uso de los analgésicos en las 3 líneas clási-cas 8 . Otra de las razones es que se desconoce el efecto y las consecuencias de aplicar la escala analgésica de sólo 2 escalones en las personas mayores.…”

Section: Control De Los Efectos Secundarios De Los Opiáceosunclassified

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