[Opioids: modern concepts of pain management].
In cancer pain management the application of opioids is established and follows the WHO guidelines. In the management of chronic non-cancer pain opioids are used increasingly but the effectiveness is less. Several central and gastrointestinal side effects can limit the outcome. A careful patient selection is necessary and indications and contraindications must be regarded. The psychomotor performance is not impaired in all patients but must be controlled in the individual patient. In chronic pain management opioids are a component of an interdisciplinary concept and can be used safely by considering therapy rules and supervision.
Strumpf
Michael
M
Klinik für Anästhesie, Intensivmedizin und Schmerztherapie, Rotes Kreuz Krankenhaus, Bremen. strumpf@roteskreuzkrankenhaus.de
Willweber-Strumpf
Anne
A
Zenz
Michael
M
D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use*; D002908:Chronic Disease; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy; D000075202:Contraindications; D004347:Drug Interactions; D006801:Humans; D009369:Neoplasms / Q000503:physiopathology; D010146:Pain / Q000188:drug therapy*; D010147:Pain Measurement; D010166:Palliative Care; D010348:Patient Care Team; D016896:Treatment Outcome
D000701:Analgesics, Opioid