The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Cancer Pain Management with Epidural Tunnelling

암성 통증 치료를 위한 경막외 카테터 터널 거치법

  • Lee, Jung-Koo (Department of Anesthesiology, Keimyung University, School of Medicine) ;
  • Chung, Jung-Gil (Department of Anesthesiology, Keimyung University, School of Medicine) ;
  • Cheun, Jea-Kyu (Department of Anesthesiology, Keimyung University, School of Medicine)
  • 이정구 (계명대학교 의과대학 마취과학교실) ;
  • 정정길 (계명대학교 의과대학 마취과학교실) ;
  • 전재규 (계명대학교 의과대학 마취과학교실)
  • Published : 1991.11.23
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Abstract

Continuous epidural analgesia with intermittent morphine injection is a good technique for the management of intractabie cancer pain. Since epidural tunnelling was introduced for the first time to our institution in 1988, it has been widely used for the cancer pain management. Recently epidural tunnelling was introduced for the keeping an inserted catheter for a long period of time. Twenty-five patients with terminal cancer had been used an epidural tunnelling at the pain clinic of Dongsan Medical Center during the period of 3 months in 1991. Among the 25 patients, 14 were male and 11 were female, and most of them were at the ages of 6th decade. The causes of pain were from stomach cancer in 12, CBD cancer in 3, hepatoma in 2, pancreatic cancer in 2, uterine cervical cancer in 2, and miscellaneous cancer in 4 cases respectively. The outcome of treatment were excellent results in 14(56%), good in 9(36%), and moderate in 2.patients(8%). Accordingly satisfactory pain relief was achieved in 92% of the patients. It is suggested that this long-term management of intractable cancer pain by epidural bupivacaine and morphine with epidural tunnelling is satisfactory and reliable.

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