Ferrer-Brechner T
Semin Oncol. 1985 Dec;12(4):431-7.
Diagnostic and therapeutic nerve blocks are potent tools that can be utilized as one component of the armamentarium in the overall management of cancer pain. With the advent of the multidisciplinary approach to cancer pain management, the appropriate role of nerve blocks should be examined in terms of timing and risk-benefit ratio for each individual patient. Improved patient selection, prior utilization of other lower risk techniques, improved understanding of patient goals, and changes in pain experience may result in higher success. The ultimate goal is to provide comfort without sacrificing other functions important to the patient and/or family.
诊断性和治疗性神经阻滞是有效的工具，可作为癌症疼痛整体管理手段中的一个组成部分。随着癌症疼痛管理多学科方法的出现，应根据每位患者的时机和风险效益比来审视神经阻滞的恰当作用。改善患者选择、优先使用其他低风险技术、增进对患者目标的理解以及疼痛体验的变化可能会带来更高的成功率。最终目标是在不牺牲对患者和/或家属重要的其他功能的前提下提供舒适感。
