INTERPLEURAL ANALGESIA FOR THE TREATMENT OF SEVERE CANCER PAIN IN TERMINALLY ILL PATIENTS

被引:20
作者
MYERS, DP
LEMA, MJ
DELEONCASASOLA, OA
BACON, DR
机构
[1] Department of Anesthesiology and Critical Care Medicine, Roswell Park Cancer Institute Buffalo, NY
[2] State University of New York, Buffalo School of Medicine, Buffalo, NY
关键词
CHRONIC PAIN; CANCER PAIN; TERMINALLY ILL; INTERPLEURAL ANALGESIA;
D O I
10.1016/0885-3924(93)90195-2
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Interpleural analgesia was used to a acute, severe exacerbations of chronic pain unrelieved by pharmacologic therapy in ten terminally ill cancer patients. Pain from metastatic disease to the neck, arms, chest, brachial plexus, thorax, or abdomen was effectively eliminated between 7 hr and 40 days in nine patients, who died with minimal or no pain. The technique was performed primarily using bupivacaine No side effects were detected. Interpleural analgesia appears to be effective in rapidly controlling acute exacerbations of cancer pain in terminally ill patients. Moreover, it may also be a suitable therapy for moribund patients when used as a continuous-infusion technique.
引用
收藏
页码:505 / 510
页数:6
相关论文
共 21 条
[1]  
Durrani, Winnie, Ikuta, Interpleural catheter analgesia for pancreatic pain, Anesth Analg, 67, pp. 479-481, (1988)
[2]  
Waldman, Allen, Cronen, Subcutaneous tunneled intrapleural catheters in the long-term relief of right upper quadrant pain of malignant origin, J Pain Symptom Manage, 4, pp. 86-89, (1989)
[3]  
Reiestad, Kvalheim, McIlvaine, Pleural analgesia for the treatment of acute severe thoracic herpes zoster, Reg Anesth, 14, pp. 244-246, (1989)
[4]  
Ahlburg, Noreng, Molgaard, Egebo, Treatment of pancreatic pain with interpleural bupivacaine: an open trial, Acta Anaesthesiol Scand, 34, pp. 156-157, (1990)
[5]  
Fineman, Long-term post-thoracotomy cancer pain management with interpleural bupivacaine, Anesth Analg, 68, pp. 694-697, (1989)
[6]  
Johnson, Rocco, Ferrante, Continuous subpleural-paravertebral block in acute thoracic herpes zoster, Anesth Analg, 67, pp. 1105-1108, (1988)
[7]  
Sihota, Holmblad, Horner's syndrome after interpleural anesthesia with bupivacaine for post-herpetic neuralgia, Acta Anaesth Scand, 32, pp. 593-594, (1988)
[8]  
Reiestad, McIlvaine, Barnes, Kvalheim, Haraldstad, Pettersen, Interpleural analgesia in the treatment of severe thoracic postherpetic neuralgia, Reg Anesth, 15, pp. 113-117, (1990)
[9]  
Reiestad, McIlvaine, Kvalheim, Stokke, Pettersen, Interpleural analgesia in treatment of upper extremity reflex sympathetic dystrophy, Anesth Analg, 69, pp. 671-673, (1989)
[10]  
Morrow, Squier, Sympathetic blockade with interpleural analgesia, Anesthesiology, 71, (1989)