42 / 42
Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 93
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
Background:
Malignant spinal cord compression (MSCC) is
one of the palliative care emergencies where rapid and early
management has drastic effect on patients’ outcome.
Aim:
This study was done to evaluate the pain and symptom
burden assessment and management in patients with MSCC in
palliative care setup.
Materials & Methodology:
We reviewed the records of patients
with MSCC presented to pain clinic over the period of one year.
Details of their symptom burden like back pain, motor or sensory
weakness, bladder or bowel involvement and radiological data
(CT/MRI) of level of compression and details of treatment were
reviewed.
Results:
Records of 43 patients withMSCC in palliative care setup
were reviewed. Pain scores (NRS) more than 6 was present in
55.8% of patients. Morphine was prescribed in 69.8% and fentanyl
patch in 4.6% of patients. Adjuvants used were gabapentin,
pregabalin, flupirtine, amitriptyline and duloxetine for neuropathic
pain. The commonest treatment employed was steroids (79.1%)
followed by radiotherapy (74.4%) and physiotherapy (41.9%).
25.6% patients were advised for Taylor’s brace and all patients
were counselled, prognosticated and advised for dietician referral.
Issues like bladder and bowel care, pressure sores, use of air
mattresses or cushions and psychological issues were also dealt.
MSCC has overall poor functional outcome but pain control and
maintaining mobility of patients are key to palliative approach.
Conclusion:
Symptom burden is very high in MSCC.
Multidisciplinary approach is required for its management. It has
overall poor functional outcome but pain control and promoting
functional independence are key to palliative approach.
seemamishra2003@gmail.comPain and symptom management in patients with malignant
spinal cord compression (MSCC) in palliative care setup at a
tertiary care centre: a retrospective study
Seema Mishra, Anuradaha Patel, Sandeep Babbar, Shveta Katyal
and
Sushma
Bhatnagar
Dr. B R Ambedkar Institute Rotary Cancer Hospital – AIIMS, Delhi, India
Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003