Details

Autor(en) / Beteiligte

• Rasche, T
• Emmert, D
• Seidel, H
• Sellin, J
• Conrad, R
• Mücke, M

Titel

Pain management in sickle cell disease

Ist Teil von

• Schmerz (Berlin, Germany), 2020-06, Vol.34 (3), p.285-296

Ort / Verlag

Germany

Erscheinungsjahr

2020

Quelle

MEDLINE

Beschreibungen/Notizen

• Sickle cell disease is associated with numerous symptoms and complications. Acute painful crisis is the most characteristic manifestation of the disease. In addition, many patients report chronic pain. As both acute and chronic pain severely diminish quality of life, adequate pain management is crucial. Recommendations for the treatment of acute painful crises are based on the World Health Organization analgesic ladder, which has been developed for cancer-related pain. Chronic pain can be treated with basic long-acting opioids and on-demand short-acting opioids. If patients show signs of neuropathic pain, administration of anticonvulsants, antidepressants or possibly ketamine should be considered.