İNTRAKAVİTER SERVİKS BRAKİTERAPİSİ UYGULAMALARINDA ANALJEZİ

Ebru Özen

doi:10.48176/esmj.2023.105

Derleme

ANALGESIA IN INTRACAVITARY CERVICAL BRACHYTHERAPY APPLICATIONS

Yıl 2023, Cilt: 4 Sayı: 1, 64 - 66, 29.03.2023

Ebru Özen

https://doi.org/10.48176/esmj.2023.105

Öz

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.

Anahtar Kelimeler

Analgesia, brachytherapy, cervical cancer

Kaynakça

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.