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Palliative Medicine
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Article

Intranasal alfentanil for severe intractable angina in inoperable coronary artery disease

Hannah Osborn1* and Melanie Jefferson2

1 Department of Palliative Medicine, Velindre Cancer Centre
2 Department of Palliative Medicine, University Hospital of Wales

* To whom correspondence should be addressed. E-mail: hannahbowdler{at}doctors.org.uk.


  Abstract

Chronic refractory angina can lead to multiple acute hospital admissions. This can be due to patient and healthcare professional misconceptions regarding the meaning of the chest pain experienced. Symptom control, psychological support and education form an important part of the management of this condition. We describe a case study where intranasal alfentanil provided rapid relief of symptoms preventing repeated hospital admissions.

First published on October 13, 2009
Palliative Medicine 2009, doi:10.1177/0269216309107005
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