The management of strong opioid-induced constipation in neoplastic patients

Rahnea-Niţă, Roxana-Andreea; Badiu, Cristinel Dumitru; Ciuhu, Anda Natalia; Mandu, Mihaela; Andronache, Liliana Florina; Grigorean, Valentin Titus; Spircu, Tiberiu; Suceveanu, Adrian Paul; Gherghiceanu, Florentina; Nițipir, Cornelia; Smarandache, Cătălin Gabriel; Nita, G.

doi:10.25083/rbl/25.3/1563.1571

Cited by 2 publications

(2 citation statements)

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“…The standard conduct is the use of major opioids, but solutions for dose reduction through multimodal analgesic therapy are being sought. Its principle of use is the combination of various classes of drugs with different mechanisms of action, the goal being optimal pain control, the avoidance of major opioid medication, and thus, the reduction of their adverse reactions [23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Principles of Specific Treatment and Palliative Care in Advanced Head and Neck Cancer

Rahnea-Niţă¹,

Toma²,

Grigorean³

et al. 2023

Preprint

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Most head and neck cancers are diagnosed in advanced stages, when the curative interventions are no longer possible. The assessment and the multidisciplinary therapeutic approach of the locally advanced cases are difficult since the onset of the disease becomes a significant challenge for the whole attending team (including both the patient and his family) because they have to deal with to an extensive symptomatology (abundant secretions, refractory pain, mutilations predominantly in the cephalic area), with the cure of stomas (tracheostomy, gastrostomy) and with various post-therapeutic sequelae. The present paper reflects the impact of late diagnosis, the complexity of the multimodal specific oncological treatment (chemotherapy, radiotherapy, immunotherapy, pal-liative and terminal treatment), the adaptation of medical care to the psycho-emotional structure, having as an example the case of 54-year old patient (with his consent) diagnosed with pharyn-golaryngeal neoplasm who presented himself to “St. Luca” Chronic Disease Hospital, the Oncol-ogy-Palliative Care Department, in September 2021. In patients with locally advanced head and neck cancers, besides the specifically oncological therapeutic decisions, the empathic-emotional connection between the medical team with the patient and his family plays a key role in the ther-apeutic conduct.

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Section: Discussionmentioning

confidence: 99%

Principles of Specific Treatment and Palliative Care in Advanced Head and Neck Cancer

Rahnea-Niţă¹,

Toma²,

Grigorean³

et al. 2023

Preprint

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“…Severe cases, with extremely advanced tumors, are not suitable for such interventions. In such patients, we can only provide palliative care [13,14] and last generation oncologic treatment [15]. Less advanced cases remain suitable for the use of coblation, taking into account the the complete assessment of the patient.…”

mentioning

confidence: 99%

Chemical Ablation of the Tissue in ENT Surgery

Pietroşanu¹,

Zainea²,

Ioniţă³

et al. 2018

Rev. Chim.

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Various interventions require tissue ablation in ENT surgery. This can be achieved using a multitude of methods, but the tendency today is to use minimally invasive methods. The development of new technologies has allowed us to consider the use of coblation for tissue ablation, which is based on a chemical reaction, instead of a thermal or mechanical ablation. The technology proved to be extremely used in the field of ENT. Its indications range from functional surgery to benign or even malignant tumors and it can be used in the nose, pharynx and larynx, with probes of different length and angulation. This minimally invasive method of tissue ablation associates less scaring, a faster recovery and a lower postoperative discomfort. Although the time required for the intervention may be somewhat longer, the overall results are superior to the classical methods, considering it provides instant hemosthasis as well. We consider it to be a reliable method, fit for a wide range of indications.

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The management of strong opioid-induced constipation in neoplastic patients

Cited by 2 publications

References 0 publications

Principles of Specific Treatment and Palliative Care in Advanced Head and Neck Cancer

Principles of Specific Treatment and Palliative Care in Advanced Head and Neck Cancer

Chemical Ablation of the Tissue in ENT Surgery

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