Intrathecal analgesia in cancer pain

Perez, Marco R.; Pulley, Steven C.

doi:10.1053/j.trap.2009.12.004

Cited by 5 publications

(1 citation statement)

References 79 publications

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“…Other interventional options included continuous neuraxial analgesia via an implantable intrathecal pump . Theoretically, the life expectancy of the patient would have allowed us to use such a device, but we chose a peripheral neurolytic procedure, because it targets specifically the pain pathways and is less invasive than an intrathecal pump.…”

Section: Discussionmentioning

confidence: 99%

Subcostal Transversus Abdominis Plane Phenol Injection for Abdominal Wall Cancer Pain

et al. 2013

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A subcostal transversus abdominis plane (TAP) phenol injection was performed on a patient with refractory cancer pain due a metastatic involvement of the abdominal wall. A diagnostic block with local anesthetic was performed under ultrasound guidance (USG), resulting in a decrease of 80% and 100% in dynamic and static visual analog scale (VAS) for pain, respectively, for 20 hours. A phenol injection was then performed under USG. The patient reported 70% and 100% reduction in the dynamic and static VAS for pain and had a 50% decrease in the opioid requirement that was maintained for 2 months. TAP blocks offer an interesting tool for either diagnosis or therapeutic purpose in chronic pain management. USG provides an optimal approach to soft-tissue lesions where fluoroscopy techniques are not useful.

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Section: Discussionmentioning

confidence: 99%