• Scope of the Problem
• 34 min
  1. Cancer pain

  • Prof. Judith Paice
• Current Therapies
• 58 min
  2. The rational use of opioid analgesics for cancer pain - with a critique of the WHO 3-step ladder

  • Prof. Sam Ahmedzai
• 17 min
  3. Spinal analgesia for cancer pain

  • Prof. Jon Raphael
• 41 min
  4. Celiac plexus block

  • Prof. David Brown
• Future Directions
• 45 min
  5. Pain and symptom control in palliative care: new ways to think about old drugs

  • Prof. Larry Driver
• 36 min
  6. Symptom control: using technology pragmatically

  • Dr. Steven Richeimer
• From Palliative Care to Chronic Pain
• 42 min
  7. Insight and responsibility: ethics in pain medicine and palliative care

  • Prof. Rollin Gallagher
• 23 min
  8. The patient with pain: a palliative care approach

  • Dr. Janet Abrahm
• Archived Lectures *These may not cover the latest advances in the field
• 34 min
  9. Cancer pain and related symptoms: an overview

  • Prof. Judith Paice
• 74 min
  10. Cancer pain control: an evidence-based approach

  • Prof. Daniel Carr
  • Dr. Baraa Tayeb
• 47 min
  11. Optimal treatment of chronic pain

  • Prof. Gordon Irving
• 33 min
  12. Chronic cancer pain: the price of success?

  • Prof. Allen Burton

Printable Handouts

PDF

Navigable Slide Index

1. Introduction
2. Lecture outline
3. Anatomy of celiac plexus
4. Sagittal image of celiac plexus
5. Viscera innervated by celiac plexus
6. Demographics of pain
7. 2006 estimated US cancer deaths
8. Survival during three time periods by cancer site
9. Pancreatic cancer risk factors
10. Pancreatic cancer pain
11. Photomicrograph of adenocarcinoma
12. Bockman study
13. Bockman photomicrograph
14. Celiac technique
15. Retrocrural and anterocrural anatomy
16. Classic block anatomy
17. Retrocrural and anterocrural nerve block
18. Deep splanchnic technique
19. Finger on pulse (1)
20. Finger on pulse (2)
21. AP - fluoroscopy
22. Lateral - fluoroscopy
23. CT - block image
24. Retrocrural anatomy & pancreatic cancer
25. Celiac block via gastroscope
26. Block outcome
27. Carr meta-analysis, 1995
28. Ischia RCT, 1992 (1)
29. Ischia RCT, 1992 (2)
30. Pancreatic cancer location, 2000
31. Percent of good relief
32. Survival time by months
33. Side effects
34. Carr meta-analysis, 2004
35. Staats study, 2001
36. De Cicco study, 1997 (1)
37. De Cicco study, 1997 (2)
38. De Cicco study, 1997: conclusions
39. De Cicco study, 2001
40. Lillimoe study, 1993
41. Lillimoe study, 1993: results
42. Lillimoe study, 1993: survival
43. Wong study, 2004
44. Splanchnic resection
45. Managing risks
46. Clinical case - Friday noon
47. Artery of Adamkiewicz
48. Celiac plexus block: England and Wales survey
49. Organ bath
50. Experiment set up
51. Ethanol data
52. Phenol data
53. Concluding remarks

Topics Covered

• Anatomy
• Demographics of pancreatic cancer pain
• US cancer deaths
• Relative survival
• Pancreatic cancer risk factors
• Pancreatic cancer pain
• Retrocrural anatomy and pancreatic cancer
• Celiac Technique
• Neurolytic celiac plexus block in cancer pain: a meta-analysis
• Block outcome
• Managing risks of technique

Links

Series:

• Cancer Pain Management

Categories:

• Cancer
• Clinical Practice
• Neuroscience

Therapeutic Areas:

• Neurology
• Oncology

Talk Citation

Publication History

• Published on February 23, 2009

Financial Disclosures

• Prof. David Brown has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.