We welcome the publication of professor chambers article nerve blocks in palliative care in particular his discussion of central neuraxial infusions but were surprised at the lack of any mention of intrathecal neurolysis. It was a pleasure to review this book on nerve blocks in palliative care written by two renowned specialists fiona hicks who is a consultant in palliative medicine at leeds teaching hospitals trust and karen simpson a consultant in pain medicine within the same trust. Palliative care is concerned with the treatment of a patients symptoms without necessarily affecting the underlying cause however although the primary aim is to enhance the quality of life and to neither hasten nor postpone death the relief of distressing symptoms may well positively affect the course of illness. A nerve block is the injection of either a local anesthetic or a drug that inactivates nerves to control otherwise uncontrollable pain nerve blocks in palliative care fiona hicks karen h simpson oxford university press. Virtually any peripheral nerve or plexus block can be considered in addition to reports of peripheral nerve blocks for cancer pain there are also published reports of peripheral nerve block infusions for surgery postoperative pain chronic pain syndromes and to facilitate other treatments such as physiotherapy
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