Patient selection for an interventional procedure requires knowledge of the disease process, the prognosis, the expectations of patient and family, a careful assessment and discussion with the referring physicians. There is good evidence for the effectiveness of a coeliac plexus block and intrathecal drug delivery. Safety, aftercare and the management of possible complications have to be considered in the decision-making process. Where applied appropriately and carefully at the right time, these procedures can contribute enhanced pain relief, reduction of medication use and a markedly improved quality of life.
NOTE: April 2014 update: The joint BPS/APM Cancer Pain Working Party chairs have considered the review of this existing document and find the information to be still valid.