Perioperative Analgesia Protocol for Photoimmunotherapy. 2 Cases of Seamless Care with Remifentanil

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Key Points

To create an effective perioperative analgesia protocol for patients undergoing photoimmunotherapy.
Utilized remifentanil continuously in the ICU post-surgery for approximately 6 hours before tapering off.
Combined remifentanil with IV-PCA fentanyl for pain management after extubation.
Presented findings in two cases of patients with recurrent oral and oropharyngeal cancers.
Both cases reported a maximum Numeric Rating Scale (NRS) pain score of 2 by the following morning.
Demonstrated seamless and high-quality analgesia during the perioperative period.
Indicated the need for further accumulation of cases and development of simpler, safer protocols.

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Develops a pain management protocol in cancer treatment, indicating effective analgesia in two cases.

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Sato et al. (2025) studied this question.

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