J Korean Pain Soc.  1992 May;5(1):23-28.

Totally Implanted Port System for Terminal Cancer Pain: Problems and Complications

• Hong KH

Abstract

The use of epidural narcotics to treat cancer pain was first described by Behar et al in l979. More recently, a variety of implantable INDSs have been described for longterm intraspinal narcotic administration. Especially, among these systems INDS typeIII which is designed by Poletti et al is relatively low cost and less risk of infection, therefore this system has been widely accepted but the clinical expirience is insufficient yet. 1, Problems, 1) thorough education of patients and caregivers about this system the method of drug delivery and the situations could be happen in using this system. 2) high cost of continuous drug delivery system 3) legal problems about morphine carryout in the case of bolus infusion by syringe 1. Complications; 1) by morphine; Significant respiratiory depression was not found in all 21cases. other morphinerelated complications were occurred occasionally but improved within a few days by appropriate treatment. 2) by system, Blockage or leakage of catheter was occurred in 2cases and wound infection was occurred in 2cases and so reimplantation was done.

MeSH Terms

Caregivers
Catheters
Depression
Drug Delivery Systems
Humans
Morphine
Narcotics
Patient Education as Topic
Replantation
Syringes
Wound Infection
Morphine
Narcotics