Pain control in thoracic oncology.
| Autor: | Peeters-Asdourian C; Dept of Anaesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA cpeeters@bidmc.harvard.edu., Massard G; Service de Chirurgie Thoracique, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg (UDS), EA 7293/Federation of Translational Medicine, Strasbourg, France., Rana PH; Dept of Anaesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Van Houtte P; Service de Radiothérapie, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Bruxelles, Belgium., White AP; Dept of Orthopaedic Spine Surgery, Beth Israël Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Grigoriu B; Service des soins intensifs et urgences oncologiques & Oncologie thoracique, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Bruxelles, Belgium., Lossignol D; Service de Médecine Interne, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Bruxelles, Belgium., Almalki M; Dept of Anaesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA., Alexiou J; Service de Radiologie, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Bruxelles, Belgium., Engelholm JL; Service de Radiologie, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Bruxelles, Belgium., Sculier JP; Service des soins intensifs et urgences oncologiques & Oncologie thoracique, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Bruxelles, Belgium. |
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| Jazyk: | angličtina |
| Zdroj: | The European respiratory journal [Eur Respir J] 2017 Sep 10; Vol. 50 (3). Date of Electronic Publication: 2017 Sep 10 (Print Publication: 2017). |
| DOI: | 10.1183/13993003.00611-2017 |
| Abstrakt: | This review of pain management in lung cancer is based on the presentation of four cases of thoracic oncology patients with pain at various stages of their disease. The approach will be multidisciplinary, involving a thoracic oncologist, radiologist, thoracic and orthopaedic spine surgeon, radiation therapist, pain medicine specialist, and palliative care specialist. This multispecialty approach to the management of different painful presentations in thoracic oncology will demonstrate the complexity of each case and the improved patient outcomes which result from the involvement of different disciplines working in concert.In the USA, Europe and other countries, palliative care specialists often become rapidly involved in the management of these patients, coordinating social care and providing psychological support.Thoracic and orthopaedic spine subspecialists provide surgical methods to control tumour invasion, and improve quality of life and preservation of function in settings of even diffuse metastatic disease. Similarly, thoracic oncology and radiation therapists utilise both therapeutic and palliative chemotherapeutic and radiation therapy regimens to prolong and improve quality of life.The pain medicine specialist can, in addition to medication management, offer a variety of interventional approaches including unique drug delivery systems such as epidural analgesia, regional anaesthesia techniques, and intrathecal pumps, as well as neuromodulation techniques and neurolytic or neuroablative procedures.In the USA, these specialists complete an additional fellowship year in pain medicine following the completion of an anaesthesiology, physical medicine and rehabilitation, neurology or psychiatry residency. These programmes are accredited by the Accreditation Council for Graduate Medical Education, or ACGME (www.acgme.org). Competing Interests: Conflict of interest: None declared. (Copyright ©ERS 2017.) |
| Databáze: | MEDLINE |
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