Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care
Adult patients in the intensive care unit (ICU) often experience pain resulting from acute and chronic illness, as well as from standard positioning and maneuverers in the ICU. In recent years, the need for effective pain control in intensive care has emerged strongly. Partial or ineffective control...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Pain |
| Subjects: | |
| Online Access: | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=1;spage=56;epage=58;aulast=Cittadini |
| _version_ | 1828847938147713024 |
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| author | Alessio Cittadini Andrea Sica Daniele Bellantonio Emanuele Russo Vanni Agnoletti |
| author_facet | Alessio Cittadini Andrea Sica Daniele Bellantonio Emanuele Russo Vanni Agnoletti |
| author_sort | Alessio Cittadini |
| collection | DOAJ |
| description | Adult patients in the intensive care unit (ICU) often experience pain resulting from acute and chronic illness, as well as from standard positioning and maneuverers in the ICU. In recent years, the need for effective pain control in intensive care has emerged strongly. Partial or ineffective control is associated with multiple complications, such as agitation, delirium, inability to adapt to mechanical ventilation, increased length of stay, and post-traumatic stress disorder. Recent guidelines and studies suggest multimodal strategies for effective pain control, also re-evaluating the use of locoregional anesthesiological techniques. Oncological pain in critically ill patients represents a particular challenge for medical staff, being closely linked to the concept of palliative care. We present a case of refractory pain and agitation in an oncologic patient following an emergency exploratory laparotomy. Through the use of an intrathecal catheter, we provided effective analgesia to control pain and agitation, allowing weaning from mechanical ventilation before, and once the terminal state of the tumor was established, providing palliative care to ensure dignity and satisfaction of the patient. |
| first_indexed | 2024-12-12T22:19:51Z |
| format | Article |
| id | doaj.art-5d8116b113004b5b847c24993c7de644 |
| institution | Directory Open Access Journal |
| issn | 0970-5333 |
| language | English |
| last_indexed | 2024-12-12T22:19:51Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pain |
| spelling | doaj.art-5d8116b113004b5b847c24993c7de6442022-12-22T00:09:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332022-01-01361565810.4103/ijpn.ijpn_6_22Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive careAlessio CittadiniAndrea SicaDaniele BellantonioEmanuele RussoVanni AgnolettiAdult patients in the intensive care unit (ICU) often experience pain resulting from acute and chronic illness, as well as from standard positioning and maneuverers in the ICU. In recent years, the need for effective pain control in intensive care has emerged strongly. Partial or ineffective control is associated with multiple complications, such as agitation, delirium, inability to adapt to mechanical ventilation, increased length of stay, and post-traumatic stress disorder. Recent guidelines and studies suggest multimodal strategies for effective pain control, also re-evaluating the use of locoregional anesthesiological techniques. Oncological pain in critically ill patients represents a particular challenge for medical staff, being closely linked to the concept of palliative care. We present a case of refractory pain and agitation in an oncologic patient following an emergency exploratory laparotomy. Through the use of an intrathecal catheter, we provided effective analgesia to control pain and agitation, allowing weaning from mechanical ventilation before, and once the terminal state of the tumor was established, providing palliative care to ensure dignity and satisfaction of the patient.http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=1;spage=56;epage=58;aulast=Cittadinianesthesiapainpalliative care |
| spellingShingle | Alessio Cittadini Andrea Sica Daniele Bellantonio Emanuele Russo Vanni Agnoletti Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care Indian Journal of Pain anesthesia pain palliative care |
| title | Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care |
| title_full | Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care |
| title_fullStr | Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care |
| title_full_unstemmed | Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care |
| title_short | Continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care |
| title_sort | continuous intrathecal infusion for refractory pain management in an oncologic patient in intensive care |
| topic | anesthesia pain palliative care |
| url | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=1;spage=56;epage=58;aulast=Cittadini |
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