Intrathecal Catheter and Subcutaneous Access Port Implantation in Pain Management for Terminal Cancer Patient - A case report -
![]() |
Seo, Kwi Chu
(Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu)
Chung, Jin Yong (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) Kim, Ho Young (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) Rho, Woon Seok (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) Kim, Bong Il (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) Song, Seok Young (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) |
1 | Nitescu P, Hultman E, Appelgren L, Linder LE, Curelaru I: Bacteriology, drug stability and exchange of percutaneous delivery systems and antibacterial filters in long-term intrathecal infusion of opioid drugs and bupivacaine in "refractory" pain. Clin J Pain 1992; 8: 324-37 DOI ScienceOn |
2 | Motitake K, Handa H, Umeda S, Nishioka T, Suwa H, Konishi T, et al: Implantable continuous epidural morphine infussion system for relief of chronic cancer pain. No Shinkei Geka 1986; 14: 761-8 |
3 | Sjoberg M, Nitescu P, Appclgrcn L, Curelaru I: Long-term intrathecal morphine and bupivacainc in patients with refractory cancer pa in. Results from a morphine: bupivacaine dose regimen of 0.5:4.75 mg/ml. Anesthesiology 1994; 80: 284-97 DOI ScienceOn |
4 | Benedetti C, Brock C, Cleeland C, Coyle N, Dube JE, Ferrell B, et al: NCCN practice guidelines for cancer pain. Oncology (Williston Park) 2000; 14: 135-50 |
5 | Abla AA, Rothfus WE, Maroon JC, Deeb ZL: Delayed spinal subarachnoid hematoma: a rare complication of CI-C2 cervical myelography. AJNR Am J Neuroradiol 1986; 7: 526-8 |
6 | Krames ES: Intrathecal infusional therapies for intractable pain: patient management guidelines. J Pain Symptom Manage 1993; 8: 36-46 DOI ScienceOn |
7 | Akerman B, Arwestrom E. Post C: Local anesthetics potentiate spinal morphine antinociception. Anesth Analg 1988; 67: 943-8 |
8 | Appelgren L, Nordberg C, Sjoberg M, Karlsson PA, Nitcscu P, Curelaru I: Spinal epidura l metastasis: implications for spinal analgesia to treat 'refractory" cancer pain. J Pain Symptom Manage 1997; 13: 25-42 DOI ScienceOn |
9 | Kramcs ES: The chronic intraspinal use of opioid and local anesthetic mixtures for the relief of intractable pain: when all else fails! Pain 1993; 55: 1-4 DOI ScienceOn |
10 | Sjoberg H, Karlsson PA, Nordberg C, Wallgren A, Nitescu P, Appclgren L, et al: Neuropathologic findings after long-term intrathecal infusion of morphine and bupivacaine for pain treatment in cancer patients. Anesthesiology 1992; 76: 173-86 DOI ScienceOn |
11 | Coffey RJ, Burchiel K: Inflammatory mass lesions associated with intrathecal drug infusion catheters: report and observations on 41 patients. Neurosurgery 2002; 50: 78-86 DOI |
12 | Gcsrin Y, Vainio A, Pegurier AM: Long-term intrathecal infusion of morphine in the home care of patients with advanced cancer. Acta Anaesthesiol Scand 1997; 41: 12-7 DOI ScienceOn |
13 | Nitescu P, Appclgrcn L, Linder LE, Sjoberg M, Hultman E, Curclaru I: Epidural versus intrathecal morphine-bupivacame: assessment of consecutive treatments in advanced cancer pain. J Pain Symptom Manage 1990; 5: 18-26 DOI ScienceOn |
14 | Shields DC, Palma C, Khoo LT, Ferrante FM: Extramedullary intrathecal catheter granuloma adherent to the conus medullaris presenting as cauda equina syndrome. Anesthesiology 2005; 102: 1059-61 DOI ScienceOn |
15 | Crul BJ, Delhaas EM: Technical complications during long-term subarachnoid or epidural administration of morphine in terminally ill cancer patients: a review of 140 cases. Reg Ancsth 1991; 16: 209-13 |
16 | Burton AW. Rajagopal A, Shah HN, Mendoza T, Clecland C. Hassenbusch SJ 3rd, et al: Epidural and intrathecal analgesia is effective in treating refractory cancer pain. Pain Med 2004; 5: 239-47 DOI ScienceOn |
17 | Hassenbusch SJ: Cost modeling for alternate routes of administration of opioids for cancer pain. Oncology (Williston Park) 1999; 13(5 Suppl 2): 63-7 |
18 | Holmfred A, Vikerfors T, Berggren L, Gupta A: Intrathecal catheters with subcutaneous port systems in patients with severe cancer-related pain managed out of hospital: the risk of infection. J Pain Symptom Manage 2006; 31: 568-72 DOI ScienceOn |
19 | Smith TJ, Staats PS, Deer T, Steams LJ. Rauck RL, Boortz-Marx RL, et al: Randomized clinical trial of an implantable drug delivery system compared with comprehensive medical management for refractory cancer pain: impact on pain, drug-related toxicity, and survival. J Clin Oncol 2002; 20: 4040-9 DOI ScienceOn |
20 | Van Dongen RT. Crul BJ, De Bock M: Long-term intrathecal infusion of morphine and morphine/bupivacaine mixtures in the treatment of cancer pain: a retrospective analysis of 51 cases. Pain 1993; 55: 119-23 DOI ScienceOn |
21 | Sjoberg M, Appelgrcn L, Einarsson S, Hultman E, Linder LE, Nitescu P, et al: Long-term intrathecal morphine and bupivacaine in "refractory" cancer pain. I. Results from the first series of 52 patients. Acta Anaesthesiol Scand 1991; 35: 30-43 DOI ScienceOn |
22 | Meuser T. Pietruck C, Radbruch L. Sture P, Lehmann KA, Grond S: Symptoms during cancer pain treatment following WHO-guidelines: a longitudinal follow-up study of symptom prevalence, severity and etiology. Pain 2001; 93: 247-57 DOI ScienceOn |
![]() |