1993
DOI: 10.1177/026921639300700110
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Subcutaneous ketorolac- a new development in pain control

Abstract: Pain due to advanced malignant disease does not always respond to opioids, or the possible use of opioids may be limited by the occurrence of adverse effects. This paper describes the successful use of ketorolac, a new nonsteroidal anti-inflammatory drug, given by continuous subcutaneous infusion. Seven patients with pain due to advanced malignant disease taking opioid analgesia were considered to have inadequate symptom control because of opioid unresponsiveness (n = 1), opioid-related adverse effects (n = 2)… Show more

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Cited by 33 publications
(16 citation statements)
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“…Combined patient population of case reports (5) and observational studies (2) was small (91 patients) and included diverse pain syndromes related to cancer, including bone and neuropathic pain. [6][7][8][9][10][11][12] The dose and delivery method and outcome measurements were different among the studies, making data synthesis somewhat challenging. Length of therapy was extended (>5 days) in a majority of the patients and was associated with 6 GI bleeding events, but no renal adverse events were reported.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Combined patient population of case reports (5) and observational studies (2) was small (91 patients) and included diverse pain syndromes related to cancer, including bone and neuropathic pain. [6][7][8][9][10][11][12] The dose and delivery method and outcome measurements were different among the studies, making data synthesis somewhat challenging. Length of therapy was extended (>5 days) in a majority of the patients and was associated with 6 GI bleeding events, but no renal adverse events were reported.…”
Section: Resultsmentioning
confidence: 99%
“…Myers and Trotman 12 expanded the findings of Blackwell et al 6 and reported the single-center observations of 36 inpatients with advanced malignant disease-associated pain treated with ketorolac CSI. All patients were receiving oral opioids.…”
Section: Observational Studiesmentioning
confidence: 91%
“…It should be mentioned that when appropriate, ketorolac offers the advantage of parenteral administration (including subcutaneous) and thus is considered unique. This obviously does not affect concerns over the integrity of gastric mucosa [5].…”
Section: Nonopioid Analgesicsmentioning
confidence: 99%
“…Several studies have shown an opioid sparing effect in cases of postoperative pain 17,18 and there are anecdotal reports of its successful use in cancer related pain,19 including some cases of neuropathic pain. The side effect profile seems similar to that of other non-steroidal anti-inflammatory drugs.…”
Section: Non-steroidal Anti-inflammatory Drugsmentioning
confidence: 99%