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- Title
A Case of Cancer Pain Management by Long-Term Intrathecal PCA.
- Authors
Sato, Chiyo; Okabe, Tadashi; Nakanishi, Kazuhiro; Sakamoto, Atsuhiro
- Abstract
Titration of oral or intravenous medication is the preferred method of pain management for most patients with cancer pain. However, some patients experience insufficient pain relief or considerable adverse effects from systemic opioids. For these reasons, the control of severe cancer pain continues to present a variety of challenges to clinicians. We report our experience of successfully managing cancer pain in a patient by means of long-term intrathecal administration of morphine, bupivacaine, and racemic ketamine via a patient-controlled delivery system. This therapy reduced the patient's nausea, vomiting, and somnolence, led to early hospital discharge, and increased her level of daily activity. There were no signs of motor paralysis, psychomimetic alteration, neurological dysfunction, or infection related to the intrathecal route during treatment. Intrathecal therapy is an effective treatment in terminally ill patients.
- Subjects
CANCER pain treatment; DISEASE management; PATIENT-controlled analgesia; DRUG delivery systems; ANESTHESIA in neurology
- Publication
Journal of Nippon Medical School, 2010, Vol 77, Issue 6, p333
- ISSN
1345-4676
- Publication type
Case Study
- DOI
10.1272/jnms.77.333