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The evidence of peripheral nerve blocks for cancer-related pain: a systematic review.
MedLine Citation:
PMID:  25384692     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: The European Association for Palliative Care has initiated a comprehensive program to achieve an over--all review of the evidence of multiple cancer pain management strategies in order to extend the current guideline for treatment of cancer pain. The present systematic review analyzed the existing evidence of analgesic efficacy for peripheral nerve blocks in adult patients with cancer.
METHODS: A search strategy was elaborated with words related to cancer, pain, peripheral nerve and block. The search was performed in PubMed, EMBASE, and Cochrane for the period until Feb 2014.
RESULTS: The number of abstracts retrieved was 155. No controlled studies were identified. Sixteen papers presented a total of 79 cases. The blocks applied were paravertebral blocks (10 cases), blocks in the head region (2 cases), plexus blocks (13 cases), intercostal blocks (43 cases) and others (11 cases). In general, most cases reported good pain relief and no side effects.
CONCLUSION: The use of peripheral blocks is based upon anecdotal evidence. However, this review only demonstrates the lack of studies, which not equal a lack of effectiveness.
Authors:
P Klepstad; G P Kurita; S Mercadante; P Sjøgren
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-11
Journal Detail:
Title:  Minerva anestesiologica     Volume:  -     ISSN:  1827-1596     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-11     Completed Date:  -     Revised Date:  2014-11-12    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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