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Interventional Techniques For Cancer Pain Management.

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non operative techniques for cancer pain management

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Cancer pain management conservative management & Interventional techniques Dr. Shiraz Munshi MBBS,DNB Anaesthesia (fellow) Interventional Pain Specialist, Sterling Hospital, HCG Medi-Surge Hospital, Ahmedabad
 
WHAT DO WE TREAT AT PAIN CLINIC ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What you can expect from a pain specialist ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definition of pain ,[object Object],[object Object],[object Object]
Patient suffering from pain: what should we do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient suffering from pain: what should we do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Origin of pain in cancer patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of pain:
Nociceptive pain: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuropathic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History of pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History of pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of pain intensity ,[object Object],[object Object],[object Object]
 
Benefits of a systematic pain assessement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHO analgesic ladder
Step 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Step 2: Codein ,[object Object],[object Object],[object Object],[object Object]
Step 2: tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 2: tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 2: tramadol ,[object Object],[object Object],[object Object],[object Object]
Step 3: initiation of treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 3: dose titration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for transdermal fentanyl ,[object Object],[object Object],[object Object],[object Object]
Contratindications for transdermal fentanyl ,[object Object],[object Object],[object Object],[object Object],[object Object]
Breakthrough pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breakthrough pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Morphine: feared effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Morphine: side effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Morphine: side effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Morphine: side effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Approach for Cancer Pain Management-interventions
Advanced Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraspinal Opioids ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intraspinal Opioids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Radiofrequency Ablation intralesional ,[object Object],[object Object],[object Object],[object Object],[object Object]
Radiofrequency Ablation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Radiofrequency Ablation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Radiofrequency Ablation specific nerves/ganglion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vertebroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kyphoplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vertebroplasty/Kyphoplasty ,[object Object],[object Object],[object Object],[object Object]
Neurolytic Blocks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Etiology of Upper Abdominal Cancer Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Celiac Plexus Neural Blockade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Celiac Plexus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomical location of Celiac Plexus
Indication for Celiac Plexus Neural Blockade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Technological support for Celiac Plexus Block ,[object Object],[object Object],[object Object],[object Object],[object Object]
Techniques of Celiac Plexus Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AP and Lateral view of Celiac Plexus Block
AP View with contrast
CT Guided Posterior Approach
CT Guided Trans-aortic approach
Trans-discal approach
Complications of Celiac Plexus Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Celiac Plexus Blockade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Celiac Plexus Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complication of Celiac Plexus Block ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object]
NO ONE should live or die in pain
Thank you

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