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Advances in interventional procedures to manage pain and suffering in advanced oncological diseases

Abstract:

Cancer pain is often related with suffering. Despite all the efforts and the availability of new drugs, it can be severe and reluctant. The classical World Health Organization (WHO) ladder is based on a fixed treatment model; therefore, it may not fulfill the goal of an adequate pain relief. That is why a more multimodal and mobile regimen, using coadjuvants and interventional therapies could be useful. The present review updates the role of interventional pain management as a part of a comprehensive management, with the celiac plexus block being highlighted, and also gives us a glance for the potential use of ultrasound guidance in this context. © 2013 Elsevier Inc.