Delirium as a contributing factor to "crescendo" pain: Three case reports Journal Article


Authors: Coyle, N.; Breitbart, W.; Weaver, S.; Portenoy, R.
Article Title: Delirium as a contributing factor to "crescendo" pain: Three case reports
Abstract: Cancer patients occasionally experience periods of rapidly escalating pain-"crescendo" pain-that may present a challenge in assessment and management. Although these episodes are often, associated with progressive neoplasm, any of a variety of other processes may be involved. Delirium is a potentially treatable and frequently unrecognized factor. We present three patients who illustrate this relationship between delirium and a crescendo pattern of cancer pain. © 1994.
Keywords: adult; aged; case report; cancer radiotherapy; neoplasms; adenocarcinoma; disease association; lung neoplasms; haloperidol; lorazepam; delirium; dexamethasone; cancer pain; hypoxia; lung small cell cancer; pethidine; lung adenocarcinoma; paracetamol; nonsteroid antiinflammatory agent; anxiety; methadone; morphine; stomach adenocarcinoma; hydromorphone; morphine sulfate; stomach neoplasms; intravenous drug administration; pain, intractable; oxycodone; oral drug administration; carcinoma, small cell; middle age; diazepam; narcotics; cancer; human; male; female; article; piroxicam; escalating pain
Journal Title: Journal of Pain and Symptom Management
Volume: 9
Issue: 1
ISSN: 0885-3924
Publisher: Elsevier Inc.  
Date Published: 1994-01-01
Start Page: 44
End Page: 47
Language: English
DOI: 10.1016/0885-3924(94)90146-5
PROVIDER: scopus
PUBMED: 8169461
DOI/URL:
Notes: Export Date: 14 January 2019 -- Article -- CODEN: JPSME C2 -- Source: Scopus
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  1. William S Breitbart
    505 Breitbart
  2. Nessa M Coyle
    123 Coyle
  3. Russell K. Portenoy
    165 Portenoy