Thursday, October 13, 2005

September's JPSM

September's J of Pain & Symptom Management has a couple of letters I wanted to highlight.  The edition as a whole has, as usual, a bunch of interesting articles (including one examining a switch from reservoir to matrix fentanyl patches) but 2 letters struck me.  One is about nicotine withdrawal in the palliative care setting.  It introduced to me the small body of literature about nicotine withdrawal & delirium.  As a relucatant ex-smoker I was somewhat disappointed in reading this letter & the problems patients have smoking due to physical disability or facility restrictions--I had always planned on lighting up again the moment I checked myself into the hospice but it looks like this may not happen.  The other letter is a case report on a young woman with cancer who ended up on 10 lidocaine patches at a time for 24hrs a day for many months & had no problems with this & still had systemic lidocaine levels that were far from cardiotoxic.

Pallimed | Blogger Template adapted from Mash2 by Bloggermint