Epidural catheterization with a subcutaneous injection port for the long-term administration of opioids and local anesthetics to treat zoster-associated pain -a report of two cases
| Autor: | Jong Hae Kim, Bo Mi Min |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Percutaneous Epidural abscess Postherpetic neuralgia business.industry Herpes zoster Case Report medicine.disease Surgery lcsh:RD78.3-87.3 Catheter Subcutaneous injection Anesthesiology and Pain Medicine Thoracic epidural lcsh:Anesthesiology Local anesthetics Opioid analgesics Anesthesia Occlusion medicine Complication business Epidural injections |
| Zdroj: | Korean Journal of Anesthesiology Korean Journal of Anesthesiology, Vol 65, Iss 5, Pp 462-467 (2013) |
| ISSN: | 2005-7563 2005-6419 |
| DOI: | 10.4097/kjae.2013.65.5.462 |
| Popis: | Continuous epidural analgesia has been used for decades to treat acute herpes zoster pain and to prevent postherpetic neuralgia. However, many technical problems can arise during chronic treatment with epidural medications. These complications include catheter dislodgement, infection, injection pain, leakage, and occlusion. Epidural catheter placement utilizing subcutaneous injection port implantation has gained widespread acceptance as a method to overcome such complications. The technique reduces the risk of infection, the most feared complication, compared to the use of a percutaneous epidural catheter. Herein, we present 2 cases in which the continuous thoracic epidural administration of opioids and local anesthetics through an implantable subcutaneous injection port for over 2 months successfully treated zoster-associated pain without any technique- or medication-related complications in patients with risk factors for epidural abscess. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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