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
em 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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dor Intratável
/
Dor do Câncer
/
Neoplasias
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article