Resumo

CUELLAR-GUZMAN, Luis Felipe  e  FERRETIZ-LOPEZ, Giancarlo. Perioperative analgesia in cancer patients with chronic opioid use. Rev. mex. anestesiol. [online]. 2019, vol.42, n.3, pp.187-190.  Epub 13-Set-2021. ISSN 0484-7903.

Cancer is the leading cause of death worldwide, in Mexico it is the third cause of death with 12% of all deaths, reaching 222 deaths per day. According to data from the 2017 Forum of Leaders against Cancer, it is estimated that by 2025 the incidence in Mexico will increase by 50%, going from 147,000 to 220,000 new cases per year. Data from 52 reviewed articles showed that oncological pain reached Figures of 33% in cured patients, 59% in patients with oncological treatment and 64% in patients with metastasis. More than a third of patients with pain in this review classified their pain as moderate to severe. The optimal management of acute or chronic pain in the oncological patient requires a comprehensive approach based on evidence, taking into account the previous treatment with opioids, addressing breakthrough pain charts and making a constant self-assessment of strategy and results.

Palavras-chave : Cancer; pain; opioids; breakthrough; self-evaluation.