KOL Knockout TM: Cancer Pain Management Edition-KOL Knockout TM: Cancer Pain Edition

Video Transcription

Video Summary

The first summary discusses the use of NSAIDs as a treatment option for a narcotic-naive patient experiencing pain in the lower sacral area. Factors to consider when choosing an NSAID include patient-specific factors and comorbidities such as cardiovascular and gastrointestinal conditions. Acetaminophen can be tried first, followed by longer-acting NSAIDs like meloxicam or celecoxib if necessary. Topical NSAIDs like diclofenac may also be an option. It is important to prescribe the lowest effective dose for the shortest duration possible to minimize side effects, particularly gastrointestinal bleeding. Gastrointestinal side effects should be monitored, and a proton pump inhibitor may be prescribed if needed. In some cases, NSAIDs may not be appropriate due to contraindications, in which case opioids or other alternatives may be considered.<br /><br />The second summary focuses on a panel discussion about pain management in cancer patients. They discuss the use of opioids and the importance of educating patients about their side effects, particularly constipation. They recommend using a stimulant laxative to manage this side effect. Other strategies mentioned include gabapentin for neuropathic pain and buprenorphine as an alternative to opioids. The panel also talks about managing acute pain in patients undergoing radiation therapy, mentioning the use of topical morphine and gabapentin. They highlight the need for a multidisciplinary approach, individualized treatment plans, and regular monitoring for side effects.<br /><br />Overall, the panel emphasizes the importance of addressing pain management in cancer patients, considering specific patient needs, and utilizing a variety of approaches to control pain while minimizing side effects.

Keywords

NSAIDs

narcotic-naive patient

lower sacral area

patient-specific factors

comorbidities

Acetaminophen

meloxicam

celecoxib

topical NSAIDs

gastrointestinal bleeding

opioids

pain management