演題番号 : IS14-2
Cancer pain occurs in 80% of the cancer patient and sometimes its severity destroys QOL and may lead to disruption of humanity. There are various methods in managing cancer pain.
Conservative pain treatment has been well established by WHO guideline and pursued by Palliative Care Society in each countries. But one should always have in mind that conservative pain treatment has its limit in severe, intractable, and humanity destroying pain regardless of sky high dosing of opioids and adjuvant pain medications.
In this session, I will focus on CANCER PAIN MANAGEMENT from conservative treatments to interventional treatments in Japan.
I will introduce
①Brief history of opioid and analgesics: How it came into Japan and go on to ②currently available analgesics in Japan, oral medication to parenteral administration. May talk about some barriers to enforce cancer pain treatment in our country.
Additionally, I will introduce how we, as a Department of Cancer Pain Management, plan ③pain management strategies to severe cancer pain patient. We are capable of enforcing neurolysis and spinal analgesia to the patient in intractable pain regardless of systemically given high dose opioids. We often start with epidural morphine PCA which gives swift pain relief in critically painful situation. Secondary, we consider how to make it simple; reduce dose and number of analgesics, seek chance for neurolysis, and may proceed to intrathecal analgesia.
The purpose is to show audience and participants, generally, what kind of analgesics are available in Japan, and what kind of other therapy is possible in Japan.