Pain unresponsive to high dose opiate drugs

Autor: Robert J Dickson, Psb Russell
Rok vydání: 1989
Předmět:
Zdroj: Palliative Medicine. 3:61-64
ISSN: 1477-030X
0269-2163
DOI: 10.1177/026921638900300110
Popis: Rarely the pain from malignant disease, primary or metastatic, cannot be adequately relieved by conventional analgesics, even with very high dosage opiate drugs. It is now recognized that in many instances this pain, of deafferentation type, is due to actual nerve infiltration or destruction by tumour. Five such cases are reported, in each of whom, a different manipulation of drug therapy was necessary before adequate pain control was achieved. It is concluded that, until a better understanding of the mechanism of deafferentation pain is reached, treatment of such cases will remain unsatisfactory.
Databáze: OpenAIRE