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Scandinavian Journal of Pain

Official Journal of the Scandinavian Association for the Study of Pain

Editor-in-Chief: Breivik, Harald


CiteScore 2018: 0.85

SCImago Journal Rank (SJR) 2018: 0.494
Source Normalized Impact per Paper (SNIP) 2018: 0.427

Online
ISSN
1877-8879
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Volume 16, Issue 1

Issues

Cancer-pain intractable to high-doses systemic opioids can be relieved by intraspinal local anaesthetic plus an opioid and an alfa2-adrenoceptor agonist

Harald Breivik
  • Corresponding author
  • Department of Pain Management and Research, Oslo University Hospital, Oslo Norway
  • Department of Anaesthesiology, Oslo University Hospital, Oslo Norway
  • University of Oslo, Faculty of Medicine, Oslo, Norway
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Audun Stubhaug
  • Department of Pain Management and Research, Oslo University Hospital, Oslo Norway
  • University of Oslo, Faculty of Medicine, Oslo, Norway
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-07-01 | DOI: https://doi.org/10.1016/j.sjpain.2017.06.001

References

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    Kiehelä L, Hamunen K, Heiskanen T. Spinal analgesia for severe cancer pain: a retrospective analysis of 60 patient. Scand J Pain 2017;16:140–5.CrossrefPubMedGoogle Scholar

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    Mastenbroek TC, Kramp-Hendriks BJ, Kallewaard JW, Vonk JM. Multimodal intrathecal analgesia in refractory cancer pain. Scand J Pain 2017;14:39–43.Web of ScienceCrossrefPubMedGoogle Scholar

  • [3]

    Breivik H. Terminal cancer pain intractable by conventional pain management can be effectively relieved by intrathecal administration of a local anaesthetic plus an opioid and an alfa2 -agonist into the cerebro-spinal-fluid. Scand J Pain 2017;14:71–3.PubMedCrossrefGoogle Scholar

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    Niemi G, Breivik H. Adrenaline markedly improves thoracic epidural analgesia produced by a low-dose infusion of bupivacaine, fentanyl and adrenaline after major surgery. A randomised, double-blind, cross-over study with and without adrenaline. Acta Anaesthesiol Scand 1998;42:897–909.CrossrefPubMedGoogle Scholar

  • [5]

    Breivik H. Local anesthetic blocks and epidurals. In: McMahon SB, Koltzenburg M, Tracey I, Turk DC, editors. Wall and Melzack’s textbook of pain. sixth ed. Philadelphia: Elsevier; 2013. p. 523–37 [chapter 37].Google Scholar

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    Expert Working Group of the European Association for Palliative Care. Morphine in cancer pain: modes of administration. BMJ 1996;312:823–6.Google Scholar

  • [7]

    Jacox A, Carr DB, Payne R. New clinical-practice guidelines for the management of pain in patients with cancer. N Engl J Med 1994;330:651–5.CrossrefPubMedGoogle Scholar

About the article

Oslo University Hospital, Department of Pain Management and Research, PBox 4956, Nydalen, 0424 Oslo, Norway.


Published Online: 2017-07-01

Published in Print: 2017-07-01


Conflict of interest: None declared.


Citation Information: Scandinavian Journal of Pain, Volume 16, Issue 1, Pages 158–159, ISSN (Online) 1877-8879, ISSN (Print) 1877-8860, DOI: https://doi.org/10.1016/j.sjpain.2017.06.001.

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