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References in periodicals archive ?
Surgery, chemotherapy and radiotherapy are among cancer treatments but these can cause persistent and breakthrough pain in cancer survivors, 50% of them may experience persistent pain and about 40-86% experienced breakthrough pain as reported in various studies3.
This randomised control trial was planned on the observation that far too many people in the postoperative period suffered from various level of pain.3 It was then hypothesised that this pain was in fact the breakthrough pain that occurred between the two doses of parenteral analgesia.
Opioid Variety of agents May be of use for short term analgesics or breakthrough pain control postoperatively.
Breakthrough Pain. The median (range) time (in minutes) to first "breakthrough pain" among both groups was significantly longer in the ketamine group [210 (90-270)] when compared to those that received placebo [180 (90-360)] with p = 0.002.
As far as the breakthrough pain is concerned, the testing current stimulus intensity was increased sharply to the setting of whole multiple of CPT (Picture 2).
To provide continuous analgesia, a low-dose basal rate would be ordered, as well as a demand dose to be used for breakthrough pain. This is an effective method of providing consistent dosing ATC and then small bolus doses during care that may increase pain, such as turning and deep breathing (Cooney et al., 2013).
Using a randomized, double-blind placebo-controlled design, Bauchat and colleagues (9) examined the effect of intravenous ketamine 10mg administered during spinal anesthesia for cesarean delivery on the incidence of breakthrough pain, the pain that required supplemental postoperative analgesia.
(16) Given that much chronic pain is unrelated to inflammation, the use of NSAIDs should be limited to short-term use for breakthrough pain, and avoided in older adults where possible.
Extra doses (50-100% of the regular dose) should be provided for breakthrough pain.
In addition, she received intravenous tramadol 100 mg or nalbuphine 10 mg q4-6h as needed for breakthrough pain. We performed fluoroscopy-guided PRF using a NeuroTherm NT1000 (NeuroTherm, Inc., Middleton, MA, USA) radiofrequency generator [Figure 1].
Breakthrough pain is usually managed with supplemental short-term opioid medications, given intravenously, subcutaneously, or orally [9].