Interventional analgesic techniques

Abstract

AbstractThis chapter explores the use of interventional analgesic modalities for the treatment of pain related to visceral tumours. Using case studies, it reviews the underlying mechanisms responsible for the pain, as well as the role of coeliac plexus neurolysis (CPN) in the management of pain related to upper gastrointestinal malignancies. The chapter also reviews the use of neuraxial techniques, both epidural and intrathecal, in the management of cancer pain, including the relevant anatomy and the pharmacokinetics of commonly used medications, as well as the clinical considerations in deciding when and how to initiate a patient on neuraxial medications. Indications and contraindications to, as well as logistic and financial considerations for interventional techniques are discussed.