Encyclopedia for Cancer Pain Management-Presentation

Video Transcription

Video Summary

The lecture focused on inpatient management of acute cancer-related pain in adults with moderate to severe non-emergent pain. The speaker emphasized that pain is multidimensional and requires careful assessment, including whether the patient is opioid-naive or opioid-tolerant, detailed pain history, treatment history, physical exam, and recognition of nociceptive, neuropathic, or mixed pain.<br /><br />The talk reviewed how to choose opioids based on pain severity, prior opioid exposure, and liver/renal function, and discussed common opioid formulations and routes. It covered patient-controlled analgesia (PCA), including indications, contraindications, terminology, dosing calculations, and safety concerns such as avoiding family-administered demand doses. Practical examples illustrated how to convert oral opioids to IV PCA regimens and how to escalate dosing appropriately.<br /><br />The speaker also reviewed opioid side effects and management: nausea/vomiting, constipation, pruritus, delirium, and myoclonus. Finally, the lecture explained opioid conversions and equianalgesic principles, including special cautions for fentanyl and methadone, and reminded clinicians to reduce doses for incomplete cross-tolerance when rotating opioids.

Keywords

acute cancer pain

inpatient management

opioid-naive

opioid-tolerant

patient-controlled analgesia

opioid conversion

equianalgesic dosing

opioid side effects