Interventional Pain Control in Cancer Pain Management

Hardcover | January 1, 2012

EditorJoan Hester, Nigel Sykes, Sue Peat

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The effective management of pain from cancer is a top priority for patients, carers and healthcare professionals, and has been the subject of extensive research. Approximately two-thirds of cancer patients will experience severe pain, and many of them will have more than one pain. However,because of the increasing number of available treatments for cancer, patients are surviving for longer periods, and are developing complex consequences of their cancer and its treatment, such as central and peripheral neuropathic pain syndromes. Approximately 8 - 10% of cancer pain remainsunrelieved by conventional means.Interventional cancer pain management implies the use of invasive techniques, such as neuraxial (epidural, intrathecal and intracerebroventricular) drug administration, brachial and lumbar plexus blocks, autonomic blockade, neurolytic blocks and cordotomy. It can also include TENS, acupuncture andcomplementary therapies. This book describes specifically the difficult pain problems that are now faced in palliative care and highlights the need for greater collaboration between the disciplines of pain medicine and palliative care. It refers to the psychological and spiritual needs of patients,and provides patient experience data on specialist techniques. The book is an invaluable resource for all healthcare professionals working in palliative care, pain management, and primary care to inform them about the range of interventional techniques available, with evidence of efficacy, sideeffects and management advice.

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The effective management of pain from cancer is a top priority for patients, carers and healthcare professionals, and has been the subject of extensive research. Approximately two-thirds of cancer patients will experience severe pain, and many of them will have more than one pain. However,because of the increasing number of available t...

Dr Joan Hester has worked in the National Health Service for over 40 years, and was originally a Consultant in Anaesthesia and Pain Management at Eastbourne, East Sussex, where she was also Medical Director, until moving to London in 2004. Joan now works as Consultant in Pain Medicine at King's College Hospital in London and is the Im...

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Format:HardcoverDimensions:304 pagesPublished:January 1, 2012Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199219087

ISBN - 13:9780199219087

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Table of Contents

1. Nigel Sykes: Setting the scene2. Sue Peat and Joan Hester: Difficult pain problems3. Joan Hester: Interventional pain control: background and current role4. Catherine Urch: Pain mechanisms5. Paul Farquhar-Smith: Neuraxial (epidural and intrathecal) infusions I: anatomy, pharmacokinetics, evidence-base and commonly used drugs6. Joan Hester: Neuraxial (epidural and intrathecal) infusions II: patient selection, epidural versus intrathecal, equipment, description of the technique, complications, national use7. Julie O'Neill and Margaret Gibbs: Practical nursing management of epidural and intrathecal infusions8. Sue Peat, Kevin Fai and Joan Hester: Peripheral blocks, plexus blocks, and intrathecal neurolysis9. Richard Griffiths, Jon Norman and Kevin Fai: Blocks of the sympathetic nervous system / autonomic blockade10. Mike Williams and Derek Pounder: Cordotomy11. Nicholas Padfield: The use of peripheral nerve and spinal cord neuromodulation in cancer pain12. Mark I. Johnson, Jacqueline Filshie and John W. Thompson: Transcutaneous Electrical Nerve Stimulation (TENS) and acupuncture13. Rosanna Heal: The patient's perspectiveAppendix 1 - Body dermatomes