Neurolytic blocks revisited.

Current Pain and Headache Reports
Tracy P Jackson, Raymond Gaeta

Abstract

The use of neurolytic blockade is a staple in the management of cancer pain. However, the data on neurolysis for chronic pain are plagued by inconsistencies in patient selection, diagnostic criteria, technical standards, and outcome measures. No one neurolytic agent or technique has been proven superior to another. Current evidence suggests that patients with pain of malignant origin may benefit from a variety of neurolytic techniques, as the benefit of documented short-term pain relief may outweigh risk at the end of life. In the absence of compelling data suggesting low-risk long-term efficacy, neurolysis for chronic benign pain should be cautiously considered, in most cases, only after failure of aggressive multidisciplinary management.

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Citations

Apr 12, 2011·Journal of Anesthesia·Akihiko Watanabe, Michiaki Yamakage
Mar 20, 2014·Current Pain and Headache Reports·Ronnen Abramov
Dec 7, 2013·Cardiovascular and Interventional Radiology·Paul M ConsignyDeanne Stolarik
Mar 20, 2009·Journal of Pain & Palliative Care Pharmacotherapy·Elon Eisenberg
Mar 20, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Douglas K BlacklidgeJ Michael Miller
May 23, 2013·Pain Practice : the Official Journal of World Institute of Pain·Tariq Malik
Sep 19, 2015·Der Radiologe·R Bale
Dec 15, 2015·The American Journal of Hospice & Palliative Care·Arif AhmedSanjay Thulkar
Sep 4, 2013·The Cochrane Database of Systematic Reviews·Sebastian StraubePeter Cole
Nov 30, 2016·International Journal of Veterinary Science and Medicine·Arafat KhalphallahUsama T Mahmoud
Dec 12, 2012·Anesthesia and Analgesia·Gary J BrennerDaniel Raemer

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