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Rapid IV Opioid Titration Delivers Fast Relief in Palliative Crises

morphineoxycodoneopioidsintravenous titrationcancer paindyspneapalliative careretrospective cohortsymptom crisispatient satisfaction Pain / Palliative Care

Background Information

Rapid opioid titration swiftly eases acute crises in palliative care with minimal side effects.

Managing acute symptom crises such as pain and dyspnea in palliative care is critical, and understanding the effectiveness of rapid intravenous opioid titration is essential for improving patient comfort. Rapid intravenous opioid titration in 38 palliative care patients showed significant symptom improvement, with pain scores dropping from a median of 8 to 2 on the Numeric Rating Scale (NRS) and 90% of patients responding; adverse events were minimal. This study indicates that rapid opioid titration is effective and well-tolerated in acute scenarios but emphasizes the need for careful monitoring for adverse events. Limitations include the small sample size and short observation period. Rapid intravenous opioid titration effectively alleviates acute pain and dyspnea in palliative care, with high patient satisfaction and low adverse events.

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Authors: Nasrinfar K, Simonet V, Trippini A, Bosia T, Bruera E, Gamondi C

Citation: Nasrinfar K, Simonet V, Trippini A, et al. Rapid intravenous opioid titration for acute symptom crises in palliative care: a real-world retrospective study. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2026;34(10). doi:10.1007/s00520-026-11245-1

Article Links: PubMed · Journal / DOI

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