癌痛患者自控静脉镇痛技术临床实践规范的四川专家共识OACSTPCD

Patient-controlled intravenous analgesia(PCIA)is a commonly used individualized treatment for patients with cancer pain,which is suitable for patients with difficulty in oral medication,poor pain control by taking large doses of oral drugs or the pain in terminal stage cancer,and it is also the main treatment of intractable cancer pain and breakthrough cancer pain.Strong opioids are preferred in PCIA,and adjuvant therapy drugs can be selected according to the actual situation of patients.PCIA is characterized by rapid onset,stable blood concentration,no analgesic blind area,and on-demand administration.In order to better standardize the application of PCIA technology in cancer pain management in Sichuan Province,the Cancer Pain Expert Committee of Sichuan Anti-cancer Association has formulated this expert consensus on the basis of widely drawing lessons from domestic and foreign guidelines and norms,with the experience of multidisciplinary treatment and full-course management of cancer pain in Sich-uan Province,with a view to providing guidance and suggestions for clinical practice.