Refractory cancer pain in young child at end?of?life: Can we alleviate the suffering?

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dc.contributor.authorAgarwal, Shilpien_US
dc.contributor.authorSingh, Vikram Pratapen_US
dc.contributor.authorSangwan, Akanshaen_US
dc.contributor.authorMishra, Seemaen_US
dc.date.accessioned2023-08-09T06:04:08Z
dc.date.available2023-08-09T06:04:08Z
dc.date.issued2022-06
dc.description.abstractPain is a common and highly distressing symptom in children with advanced malignancies and it is often multifactorial at the end?of?life. The prognosis of cancer pain is reported to be worse in those with mixed pain type, high pain severity, daily opioid use, and poor emotional well?being. We describe a case of 13?year?old boy, known case of metastatic Ewing sarcoma right iliac bone, who presented to our palliative care ward with intractable pain and was finally discharged home for terminal care with high doses of morphine, ketamine, and midazolam infusion through elastomeric pump attached to a peripherally inserted central catheter (PICC line). The suffering of imminently dying children should be reduced, and judicious dose escalation of opioids along with adjuvants is appropriate and often necessary.en_US
dc.identifier.affiliationsDepartment of Onco-Anaesthesia and Palliative Medicine, Dr. Bhim Rao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.citationAgarwal Shilpi, Singh Vikram Pratap, Sangwan Akansha, Mishra Seema. Refractory cancer pain in young child at end?of?life: Can we alleviate the suffering?. Indian Journal of Cancer . 2022 Jun; 59(2): 265-268en_US
dc.identifier.issn0019-509X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221683
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume59en_US
dc.source.urihttps://doi.org/10.4103/ijc.IJC_635_20en_US
dc.subjectElastomeric pumpsen_US
dc.subjectketamineen_US
dc.subjectneuropathicen_US
dc.subjectopioidsen_US
dc.subjectpediatricen_US
dc.titleRefractory cancer pain in young child at end?of?life: Can we alleviate the suffering?en_US
dc.typeJournal Articleen_US
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