Intrathecal morphine delivery at prepontine cistern to control refractory cancer-related pain: a case report of extensive metastatic and refractory cancer pain.
BMC Anesthesiol
; 24(1): 77, 2024 Feb 26.
Article
in En
| MEDLINE
| ID: mdl-38408913
ABSTRACT
BACKGROUND:
Extensive metastatic and refractory cancer pain is common, and exhibits a dissatisfactory response to the conventional intrathecal infusion of opioid analgesics. CASE PRESENTATION The present study reports a case of an extensive metastatic esophageal cancer patient with severe intractable pain, who underwent translumbar subarachnoid puncture with intrathecal catheterization to the prepontine cistern. After continuous infusion of low-dose morphine, the pain was well-controlled with a decrease in the numeric rating scale (NRS) of pain score from 9 to 0, and the few adverse reactions to the treatment disappeared at a low dose of morphine.CONCLUSIONS:
The patient achieved a good quality of life during the one-month follow-up period.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain, Intractable
/
Cancer Pain
/
Neoplasms
Limits:
Humans
Language:
En
Journal:
BMC Anesthesiol
Year:
2024
Type:
Article
Affiliation country:
China