Béziaud Nicolas, Laval Guillemette, Rostaing Sylvie
Equipe mobile de soins palliatifs et de coordination en soins de support, CHU, 38000 Grenoble.
Rev Prat. 2009 Jun 20;59(6):799-808.
Pain management for a patient in palliative care requires a multi-functional approach that entails the physical, psychological, social and spiritual dimensions. It is based on a deep understanding of the pain physiopatology and its accurate assessment to optimize the treatment. This article provides guidelines to manage nociceptive and neuropathic pains, along with tips in case of refractory pains. It gives detailed instructions relative to the use of strong opiods taking advantage of the availability of new types of galenics. It proposes a decision tree relative to neuropatic pain management.
姑息治疗患者的疼痛管理需要一种多功能方法，该方法涉及身体、心理、社会和精神层面。它基于对疼痛病理生理学的深入理解及其准确评估，以优化治疗。本文提供了管理伤害性疼痛和神经性疼痛的指南，以及难治性疼痛情况下的建议。它利用新型制剂的可得性，给出了关于使用强效阿片类药物的详细说明。它提出了一个关于神经性疼痛管理的决策树。
