Review
BibTex RIS Cite

ANALGESIA IN INTRACAVITARY CERVICAL BRACHYTHERAPY APPLICATIONS

Year 2023, Volume: 4 Issue: 1, 64 - 66, 29.03.2023
https://doi.org/10.48176/esmj.2023.105

Abstract

Intracavitary brachytherapy treatment has a very important role in patients with locally advanced cervical cancer. Brachytherapy is a very painful procedure, especially in patients in whom cervical opening cannot be achieved, and requires analgesia and immobilization. The American Brachytherapy Association (ABA) recommends the use of conscious sedation as much as possible in intracavitary high-doserate (HDR) applications of patients diagnosed with cervical cancer. In this review, we wanted to discuss the types and necessity of analgesia in the application of intracavitary brachytherapy in patients diagnosed with cervical cancer, which is an important health problem in our country.

References

  • 1. National Comprehensive Cancer Network. Cervical Cancer (Version 1.2022). Jan 6, 2023. Available at: https://www.nccn. org/professionals/physician_gls/pdf/cervical.pdf. Accessed December 01, 2022.
  • 2. Smith MD, Todd JG, Symonds RP. Analgesia for pelvic brachytherapy. Br J Anaesth. 2002;88:270-6.
  • 3. Humphrey P, Bennett C, Cramp F. The experiences of women receiving brachytherapy for cervical cancer: A systematic literature review. Radiography (Lond). 2018;24:396-403.
  • 4. Kirchheiner K, Czajka-Pepl A, Ponocny-Seliger E, et al. Posttraumatic stress disorder after high-dose-rate brachytherapy for cervical cancer with 2 fractions in 1 application under spinal/ epidural anesthesia: incidence and risk factors. Int J Radiat Oncol Biol Phys. 2014;89:260-7.
  • 5. Mahapatra BR, Barik BK, Muraleedharan A, et al. High-Dose-Rate Intracavitary Brachytherapy Under Conscious Sedation a Viable Practical Alternative to Spinal Anaesthesia in Carcinoma Cervix: A Retrospective Study in a Tertiary Care Centre in Eastern India. Cureus. 2021;13:e20063.
  • 6. Tyrie LK, Hoskin PJ. Intrauterine high dose rate afterloading brachytherapy: experience of fractionated therapy using a cervical sleeve technique. Clin Oncol (R Coll Radiol). 1996;8:376-9.
  • 7. Montgomery JE, Sutherland CJ, Kestin IG, Sneyd JR. Morphine consumption in patients receiving rectal paracetamol and diclofenac alone and in combination. Br J Anaesth. 1996;77:445-
  • 8. Chen HC, Leung SW, Wang CJ, et al. Local vaginal anesthesia during high-dose-rate intracavitary brachytherapy for cervical cancer. Int J Radiat Oncol Biol Phys. 1998;42:541-4.
  • 9. Rollison B, Strang P. Pain, nausea and anxiety Care Cancer. 1995;3:205-7.
  • 10. Oei-Lim VL, Kalkman CJ, van Tienhoven G, Engbers FH. Remote controlled prolonged conscious sedation for gynaecological radiotherapy. Anaesthesia. 1996;51:866-8.
  • 11. Petereit DG, Sarkaria JN, Chappell RJ. Perioperative morbidity and mortality of high-dose-rate gynecologic brachytherapy. Int J Radiat Oncol Biol Phys. 1998;42:1025-31.
  • 12. Thanthong S, Rojthamarat S, Worasawate W, et al. Comparison of efficacy of meperidine and fentanyl in terms of pain management and quality of life in patients with cervical cancer receiving intracavitary brachytherapy: a double-blind, randomized controlled trial. Support Care Cancer. 2017;25:2531-7.

İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ

Year 2023, Volume: 4 Issue: 1, 64 - 66, 29.03.2023
https://doi.org/10.48176/esmj.2023.105

Abstract

İntrakaviter brakiterapi tedavisi lokal ileri serviks kanseri tanılı hastalarda çok önemli bir role sahiptir. Brakiterapi uygulaması özellikle servikal açıklığın sağlanamadığı hastalarda oldukça ağrılı bir
işlem olup analjezi ve immobilizasyon gerektirir. Amerikan Brakiterapi Derneği (ABA), serviks kanseri tanılı hastaların intrakaviter yüksek doz hızlı (HDR) uygulamalarında mümkün olduğunca bilinçli sedasyon kullanılmasını önermektedir. Bu derlemede ülkemizde de önemli bir sağlık sorunu olan serviks kanseri tanılı hastalarda intrakaviter brakiterapi uygulamasında analjezi tiplerini ve gerekliliği tartışmak istedik.

References

  • 1. National Comprehensive Cancer Network. Cervical Cancer (Version 1.2022). Jan 6, 2023. Available at: https://www.nccn. org/professionals/physician_gls/pdf/cervical.pdf. Accessed December 01, 2022.
  • 2. Smith MD, Todd JG, Symonds RP. Analgesia for pelvic brachytherapy. Br J Anaesth. 2002;88:270-6.
  • 3. Humphrey P, Bennett C, Cramp F. The experiences of women receiving brachytherapy for cervical cancer: A systematic literature review. Radiography (Lond). 2018;24:396-403.
  • 4. Kirchheiner K, Czajka-Pepl A, Ponocny-Seliger E, et al. Posttraumatic stress disorder after high-dose-rate brachytherapy for cervical cancer with 2 fractions in 1 application under spinal/ epidural anesthesia: incidence and risk factors. Int J Radiat Oncol Biol Phys. 2014;89:260-7.
  • 5. Mahapatra BR, Barik BK, Muraleedharan A, et al. High-Dose-Rate Intracavitary Brachytherapy Under Conscious Sedation a Viable Practical Alternative to Spinal Anaesthesia in Carcinoma Cervix: A Retrospective Study in a Tertiary Care Centre in Eastern India. Cureus. 2021;13:e20063.
  • 6. Tyrie LK, Hoskin PJ. Intrauterine high dose rate afterloading brachytherapy: experience of fractionated therapy using a cervical sleeve technique. Clin Oncol (R Coll Radiol). 1996;8:376-9.
  • 7. Montgomery JE, Sutherland CJ, Kestin IG, Sneyd JR. Morphine consumption in patients receiving rectal paracetamol and diclofenac alone and in combination. Br J Anaesth. 1996;77:445-
  • 8. Chen HC, Leung SW, Wang CJ, et al. Local vaginal anesthesia during high-dose-rate intracavitary brachytherapy for cervical cancer. Int J Radiat Oncol Biol Phys. 1998;42:541-4.
  • 9. Rollison B, Strang P. Pain, nausea and anxiety Care Cancer. 1995;3:205-7.
  • 10. Oei-Lim VL, Kalkman CJ, van Tienhoven G, Engbers FH. Remote controlled prolonged conscious sedation for gynaecological radiotherapy. Anaesthesia. 1996;51:866-8.
  • 11. Petereit DG, Sarkaria JN, Chappell RJ. Perioperative morbidity and mortality of high-dose-rate gynecologic brachytherapy. Int J Radiat Oncol Biol Phys. 1998;42:1025-31.
  • 12. Thanthong S, Rojthamarat S, Worasawate W, et al. Comparison of efficacy of meperidine and fentanyl in terms of pain management and quality of life in patients with cervical cancer receiving intracavitary brachytherapy: a double-blind, randomized controlled trial. Support Care Cancer. 2017;25:2531-7.
There are 12 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Review
Authors

Ebru Özen 0000-0003-4360-1378

Publication Date March 29, 2023
Published in Issue Year 2023 Volume: 4 Issue: 1

Cite

APA Özen, E. (2023). İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ. Eskisehir Medical Journal, 4(1), 64-66. https://doi.org/10.48176/esmj.2023.105
AMA Özen E. İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ. Eskisehir Med J. March 2023;4(1):64-66. doi:10.48176/esmj.2023.105
Chicago Özen, Ebru. “İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ”. Eskisehir Medical Journal 4, no. 1 (March 2023): 64-66. https://doi.org/10.48176/esmj.2023.105.
EndNote Özen E (March 1, 2023) İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ. Eskisehir Medical Journal 4 1 64–66.
IEEE E. Özen, “İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ”, Eskisehir Med J, vol. 4, no. 1, pp. 64–66, 2023, doi: 10.48176/esmj.2023.105.
ISNAD Özen, Ebru. “İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ”. Eskisehir Medical Journal 4/1 (March 2023), 64-66. https://doi.org/10.48176/esmj.2023.105.
JAMA Özen E. İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ. Eskisehir Med J. 2023;4:64–66.
MLA Özen, Ebru. “İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ”. Eskisehir Medical Journal, vol. 4, no. 1, 2023, pp. 64-66, doi:10.48176/esmj.2023.105.
Vancouver Özen E. İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ. Eskisehir Med J. 2023;4(1):64-6.