Ahmed Arif, Thota Raghu S, Chatterjee Aparna, Jain Parmanand, Ramanjulu Raghavendra, Bhatnagar Sushma, Salins Naveen, Bhattacharya Dipasri
Department of Anaesthesia, Critical Care and Pain Management, CK Birla Hospital for Women, Gurugram, Haryana, India.
Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
Indian J Palliat Care. 2020 Apr-Jun;26(2):203-209. doi: 10.4103/0973-1075.285696.
The Indian Society for Study of Pain (ISSP), Cancer Pain Special Interest Group guidelines on interventional management for cancer pain in adults provide a structured, stepwise approach which will help to improve the management of cancer pain and to provide the patients with minimally acceptable quality of life. The guidelines have been developed based on the available literature and evidence, to suit the needs, patient population, and situations in India. A questionnaire based on the key elements of each sub draft addressing certain inconclusive areas where evidence was lacking was made available on the ISSP website and circulated by e-mail to all the ISSP and Indian Association of Palliative Care members. We recommend using interventional management when conventional therapy fails to offer adequate benefits or causes undesirable side effects. Vertebroplasty should be offered to patients with uncontrolled bone pain when expertise is available.
印度疼痛研究协会(ISSP)癌症疼痛特别兴趣小组关于成人癌症疼痛介入管理的指南提供了一种结构化的、循序渐进的方法,这将有助于改善癌症疼痛的管理,并为患者提供最低可接受的生活质量。这些指南是根据现有文献和证据制定的,以适应印度的需求、患者群体和情况。基于每个子草案的关键要素制作了一份问卷,针对证据不足的某些不确定领域,该问卷在ISSP网站上提供,并通过电子邮件分发给所有ISSP和印度姑息治疗协会成员。我们建议,当传统疗法未能提供足够益处或导致不良副作用时,采用介入管理。当有专业技术时,应向骨痛无法控制的患者提供椎体成形术。