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[Efficient treatment of breakthrough pain in adults: the importance of timing and medication choice].

Abstract
Diagnostic or therapeutic procedures can lead to breakthrough pain. Thanks to a wise choice of analgesic medication started in due time, this type of pain can be avoided or decreased. The therapeutic options of this preventive approach are presented according to the expected breakthrough pain type and intensity. Specific situations are presented through case discussions. The main pharmacokinetic information needed to prescribe the right analgesic at the right time is summarized in a convenient table. When associated to non-pharmacological measures such as empathy, patient positioning and high quality procedures, preventive analgesia provides patients the best possible relief from breakthrough pain.
AuthorsChantal Berna, Christophe Luthy, Caroline F Samer, Hervé Spechbach, Sophie Pautex, Valérie Piguet
JournalRevue meĢdicale suisse (Rev Med Suisse) Vol. 9 Issue 392 Pg. 1360, 1362-5 (Jun 26 2013) ISSN: 1660-9379 [Print] Switzerland
Vernacular TitleTraiter efficacement la douleur incidente chez l'adulte: donner le bon antalgique au bon moment!
PMID23882913 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Analgesics
  • Analgesics, Opioid
  • Anesthetics, Local
  • Anti-Inflammatory Agents, Non-Steroidal
  • Prilocaine
  • Lidocaine
Topics
  • Administration, Cutaneous
  • Aged
  • Analgesics (therapeutic use)
  • Analgesics, Opioid (administration & dosage)
  • Anesthetics, Local (administration & dosage)
  • Anti-Inflammatory Agents, Non-Steroidal (administration & dosage)
  • Bone Neoplasms (complications, drug therapy, secondary)
  • Breakthrough Pain (diagnosis, drug therapy, etiology)
  • Carcinoma (complications, drug therapy, secondary)
  • Drug Therapy, Combination
  • Empathy
  • Female
  • Humans
  • Kidney Failure, Chronic (complications)
  • Lidocaine (administration & dosage)
  • Lung Neoplasms (complications, drug therapy, pathology)
  • Male
  • Middle Aged
  • Patient Positioning
  • Pleural Effusion (complications, diagnosis, drug therapy, surgery)
  • Prilocaine (administration & dosage)
  • Treatment Outcome

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