This paper describes the case report of a patient admitted to hospital with severe and complex pain and subacute bowel obstruction, who failed to respond to multiple analgesic regimens including ketamine burst and opioid rotation, and was subsequently successfully managed with a parecoxib infusion.
- supportive care
- drug administration
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Contributors Conception and design of article: EK, HM, RB. Drafting the manuscript: EK, HM. Revising the manuscript critically for important intellectual content: JC. Approval of the version of the manuscript to be published: EK, HM, RB, JC.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.