The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Unilateral Splanchnic Nerve Block for Gastric Cancer Pain Patients with Orthopnea

만성 폐색성 폐질환의 동반된 위암환자에서의 일측 내장신경차단

  • Kim, Joung-Ja (Department of Anesthesiology, Yonsei University College of Medicine Seoul) ;
  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine Seoul) ;
  • Oh, Hung-Kun (Department of Anesthesiology, Yonsei University College of Medicine Seoul)
  • 김정자 (연세대학교 의과대학 마취과학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실)
  • Published : 1991.06.08
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Abstract

Splanchnic nerve block with neurolytics has been used to control the upper abdominal cancer pain. This gastric cancer case with severe chronic obstructive pulmonary disease complained of upper abdominal pain, severe dyspnea and orthopnea. He maintained a sitting position most of the time with nasal oxygen inhalation because he could not remain in a supine or prone position. We performed the unilateral splanchnic nerve alcohol block under right lateral position at the T12 and L1 vertebral level. For a short time after the block, he required oxygen inhalation therapy. Three months after unilateral alcohol block, he is still alive without severe abdominal pain and severe dyspnea.

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