Supportive and Palliative Care Departement, Centre Hospitalier Princesse Grace, Monaco, Monaco
Supportive and Palliative Care Departement, Centre Hospitalier Princesse Grace, Monaco, Monaco.
BMJ Support Palliat Care. 2021 Jun;11(2):124-125. doi: 10.1136/bmjspcare-2020-002766. Epub 2021 Jan 29.
Refractory pain during care procedures causes a real challenge for terminally ill patients. We are hereby publishing three cases of patients who received repeated procedural sedations using propofol during the painful care procedures. All patients experience pain relief with no side effects although care procedures initially were a traumatic experience to them despite the usual medication. This therapeutic solution, which would need to be assessed on a case-by-case basis by evaluating the benefit-risk balance, could become a suitable comfort treatment used by palliative care teams.
在护理过程中出现难治性疼痛,这给终末期患者带来了真正的挑战。在此我们报告三例在疼痛护理过程中反复使用异丙酚进行程序性镇静的患者。尽管患者在接受常规药物治疗的情况下,初始护理过程仍会造成创伤,但所有患者均获得了疼痛缓解,且无副作用。这种治疗方法需要通过评估获益-风险比来进行个体化评估,可能成为姑息治疗团队的一种合适的舒适治疗方法。