The Korean Journal of Pain

  • 제22권1호
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  • Pages.74-77
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  • 2009
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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복합부위통증증후군 환자에게 시행한 매몰식 펌프를 이용한 지주막하강 내 약물투입 -증례보고-

Implantable Intrathecal Drug Delivery Pump in Complex Regional Pain Syndrome Patient -A case report-

  • 서경수 (아주대학교 의과대학 부속병원 마취통증의학교실) ;
  • 한경림 (아주대학교 의과대학 부속병원 마취통증의학교실) ;
  • 김세영 (포천중문의과대학교 분당차병원 통증클리닉) ;
  • 박경언 (아주대학교 의과대학 부속병원 마취통증의학교실) ;
  • 김찬 (아주대학교 의과대학 부속병원 마취통증의학교실)
  • Seo, Kyung Soo (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Han, Kyung Ream (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Sae Young (Pain Clinic, CHA General Hospital, College of Medicine, Pochon CHA University) ;
  • Park, Kyeong Eon (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Chan (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University)
  • 투고 : 2009.01.09
  • 심사 : 2009.01.22
  • 발행 : 2009.04.01
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초록

Implantable intrathecal pump is one of the therapeutic options for intractable pain. A 24-year-old male with complex regional pain syndrome was suffering from right lower extremity pain. He had all modalities of treatment including spinal cord stimulator. However, his pain had been worse in the past 6 months. His visual analogue pain scale (VAS) was 8-10 and he could not sit or walk. Only opioid was thought to be effective. Then, intrathecal pump was considered. We estimated the minimal effective dose of spinal morphine before implantation. 0.3 mg of morphine was injected intrathecally as a starting dose. Dosage had been increased up to 0.8 mg in 10 days. His VAS score decreased from 8 to 5. He could sleep without pain and walk with crutch. Therefore, intrathecal pump was inserted. He could tolerate to pain. This case suggests that intrathecal morphine delivery can provide effective treatment for intractable non-malignant pain.

키워드

참고문헌

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피인용 문헌

  1. Repetitive single subarachnoid injections for trial administration of the intrathecal morphine pump in patients with intractable non-cancer pain -A case report- vol.60, pp.2, 2011, https://doi.org/10.4097/kjae.2011.60.2.138
  2. The Intrathecal Drug Administration System vol.22, pp.2, 2009, https://doi.org/10.3344/kjp.2009.22.2.117