Drug delivery system in pain control  A review of postoperative pain and cancer pain control

Yokota Miyuki

doi:10.2745/dds.20.498

Bibliographic Information

Other Title

とう痛克服とＤＤＳ　　麻酔領域の進歩―術後痛とがんとう痛コントロール―
A review of postoperative pain and cancer pain control
麻酔領域の進歩—術後痛とがん疼痛コントロール—

Description

Postoperative, incisional pain is the common form of acute pain. The understanding of acute pain mechanisms has advanced. This article reviews postoperative pain and proposes mechanisms for enhanced excitability of sensory neurons caused by incisions. Because effective postoperative analgesia reduces morbidity following surgery, new treatments continue to be sought. The use of regional analgesia and/or opioid via a catheter, e.g. epidural analgesia (EDA), continuous epidural infusion with patient control analgesia (CED+PCA) or patient controlled intravenous analgesia (PCIA), continuous subcutaneous infusion (+PCA) has become popular. These methods require special equipment, adequate nursing skills and professional expertise as well as the establishment of clinical procedures and an appropriate logistic setup. However, post-operative pain and cancer pain in the majority of patients is underestimated and cannot be ignored due to lack of knowledge of the proper use of basic analgesic treatment. Therefore, it makes sense to establish a standardized step-concept of postoperative pain and cancer pain management with regular quality control integrated into a multimodal program.

Journal

Drug Delivery System

Drug Delivery System 20 (5), 498-504, 2005

THE JAPAN SOCIETY OF DRUG DELIVERY SYSTEM

Keywords

Details 詳細情報について

CRID: 1390282679617183488

NII Article ID: 130000747971

DOI: 10.2745/dds.20.498

ISSN: 18812732; 09135006

Text Lang: ja

Data Source

JaLC
Crossref
CiNii Articles

Abstract License Flag: Disallowed

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Drug delivery system in pain control A review of postoperative pain and cancer pain control