title: Intranasal alfentanil for severe intractable angina in inoperable coronary artery disease.
abstract: Chronic refractory angina can lead to multiple acute hospital admissions. This can be due to patient and healthcare professional misconceptions regarding the meaning of the chest pain experienced. Symptom control, psychological support and education form an important part of the management of this condition. We describe a case study where intranasal alfentanil provided rapid relief of symptoms preventing repeated hospital admissions.
authors.affiliation: Palliative Medicine, All Wales Training Scheme, Cardiff, UK. hannahbowdler@doctors.org.uk
authors.forename: Hannah
authors.initials: H
authors.lastname: Osborn
authors.forename: Melanie
authors.initials: M
authors.lastname: Jefferson
mesh_terms: D000281:Administration, Intranasal; D000368:Aged; D015760:Alfentanil / Q000008:administration & dosage*; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000787:Angina Pectoris / Q000188:drug therapy*; D017130:Angioplasty; D003324:Coronary Artery Disease / Q000628:therapy; D006760:Hospitalization; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery; D011788:Quality of Life
chemical_list: D000701:Analgesics, Opioid; D015760:Alfentanil