Management of Intractable Upper Extremity Pain With Continuous Subarachnoid Block at the Low Cervical Level Without Impairment of Upper Extremity Function
| Autor: | Toshihiro Yorozuya, Kenichi Takechi, Nobuyuki Higaki, Takumi Nagaro, Shinzo Tsubota, Tomomi Fujii |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Lidocaine Nerve root medicine.medical_treatment Pain Walking Subarachnoid Space Upper Extremity Fatal Outcome Shoulder Pain Neoplasms medicine Humans Pain Management Respiratory function Anesthetics Local Pain Measurement Bupivacaine Morphine business.industry Nerve Block Middle Aged Surgery Analgesics Opioid Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Cervical Vertebrae Nerve block Intractable pain Subarachnoid space business medicine.drug Cervical vertebrae |
| Zdroj: | Anesthesia & Analgesia. 110:1721-1724 |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/ane.0b013e3181da8ee0 |
| Popis: | We present a case of continuous subarachnoid block for the treatment of refractory cancer pain in the shoulder and upper extremity on the right side of the patient. The catheter tip was placed in the subarachnoid space close to the nerve roots on the right side at the height of C5 corresponding to the painful region. Until the patient died, his pain was controlled with infusions of bupivacaine (30-58.7 mg/d) and morphine (2-19.6 mg/d) for 120 days during which upper extremity function was not disturbed and respiratory function and performance status were improved. This case suggests continuous subarachnoid block at the low cervical level is useful for refractory cancer pain in the shoulder and upper extremity. |
| Databáze: | OpenAIRE |
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