CONTINUOUS BRACHIAL-PLEXUS NEURAL BLOCKADE IN A CHILD WITH INTRACTABLE CANCER PAIN

A 6-year-old boy presented with a large, rapidly growing osteosarcoma of the upper humerus and severe neuropathic arm pain. Despite large doses of morphine (100 mu g/kg/hr) which resulted in intermittent somnolence and respiratory?y depression, his pain was poorly controlled. An interscalene brachial plexus catheter was inserted, and bupivacaine was injected on ten Cancer pain in children can be controlled by opioids in 95% of cases; however, circumstances such as intractable neuropathic pain may require specific regional anesthetic techniques.