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癌症相关疼痛患者的围手术期疼痛管理:一项叙述性综述

Perioperative Pain Management in Patients With Cancer-Related Pain: A Narrative Review.

作者信息

Horine Storm V, Rakesh Neal, Nadav Danielle, Gulati Amitabh

机构信息

From the Department of Anesthesiology & Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.

出版信息

Anesth Analg. 2025 Apr 1;140(4):833-845. doi: 10.1213/ANE.0000000000007399. Epub 2025 Jan 30.

DOI:10.1213/ANE.0000000000007399
PMID:39883582
Abstract

The number of cancer patients, cancer survivors, and cancer surgeries is expected to continue to grow and anesthesiologists will benefit from having a framework on how to approach treating perioperative pain in the oncologic population. This article presents general considerations for formulating a perioperative pain management plan including cancer-specific contraindications for epidurals and nerve blocks, common procedures for pain after thoracic and abdominal surgeries, and alternative pain management techniques.

摘要

癌症患者、癌症幸存者以及癌症手术的数量预计将持续增长,麻醉医生将受益于拥有一个关于如何处理肿瘤患者围手术期疼痛的框架。本文介绍了制定围手术期疼痛管理计划的一般注意事项,包括硬膜外麻醉和神经阻滞的癌症特异性禁忌证、胸腹部手术后疼痛的常见处理方法以及替代性疼痛管理技术。

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