Interní Med. 2010; 12(10): 482-486 [Onkologie. 2010:4(2):94-100]
Breakthrough pain and it’s treatment
- Centrum léčby bolesti KARIM VFN a 1. LF UK Praha
Breakthrough pain (BP) is defined as transitory pain that occurs on a background of relatively well controlled baseline pain. This pain character
can join pain of tumour disease origin but not only that one. Question to specify the character of pain should be common in daily contact
with a patient. To resolve this problem it seems neccessary to provide patients wit rescue mediation with rapid 30 minute onset. The article
comes with analgetics review according to WHO classificaton and suitable for BP and available in the Czech republic. From the point of fast
onset view we are looking for new approaches and application routs practical also for outpatient departments. Intranasal fentanyl offers
such option. When pharmacotherapy is not effective any more, mainly in oncology new invasive methods are being explored.
Keywords: breakthrough pain (BP), rescue medication, Oxford league of analgesics, invasive procedures, nasal spray
Published: November 15, 2010 Show citation
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