Administration epidurale d'opiaces au long cours. [Long-term epidural administration of opiates]

Details

Serval ID
serval:BIB_430A5B4B9EF6
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Administration epidurale d'opiaces au long cours. [Long-term epidural administration of opiates]
Journal
Revue Médicale de la Suisse Romande
Author(s)
Buchser  E., Moret  V., Chedel  E.
ISSN
0035-3655 (Print)
Publication state
Published
Issued date
02/1993
Volume
113
Number
2
Pages
89-92
Notes
English Abstract
Journal Article
Review --- Old month value: Feb
Abstract
Spinal administration of morphine and other opiates has been used in clinical practice since many years, particularly in the outpatient management of cancer pain patients. The rationale and the safety of chronic spinal opiate administration is well established and not questioned anymore. However, the indications to use these therapies remain unclear, essentially because no controlled studies have ever shown the advantages of these treatments. Nevertheless, there is no doubt that some patients are unable to get adequate pain relief with conventional oral opiate administration, and will significantly benefit from the change to the spinal route. This raises technological and financial issues, as well as management problems related to the home care system. The choices that have to be made should include the home physician, the home care nursing team as well as the hospital based pain management team. This short overview will deal with some of these aspects.
Keywords
Analgesia, Epidural/adverse effects/*methods Analgesics, Opioid/*administration & dosage Catheters, Indwelling Home Care Services Humans Morphine/administration & dosage
Pubmed
Create date
28/01/2008 10:41
Last modification date
20/08/2019 13:46
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