J Korean Pain Soc.  1988 Jun;1(1):59-63.

A Treatment for Intractable Pain

Affiliations
  • 1Department of Anesthesiology, Keimyung University, School of Medicine, Taegu, Korea.

Abstract

Recently, epidural tunnelling was introduced for the convenience of keeping a catheter inserted for a long period of time. We had 15 cases in which used epidural tunnclling for the treatment of intractable pain mainly in teminal cancer patients. 1pidural puncture with cannulation was carried out in the same technique as used for epidural anesthesia. After the subcutaneous epidural tunnelling was done from the site of the epidural entry to the anterior chest, just under the skin using a tunnclling device, the catheter was threaded through the tunnelling needle at the site of the outlet, was fixed and the tip of the catheter was connected to a filter. Five ml (2 mg) of saline diluted morphine can be given at home as needed when intractable pain occurs. This long-term treatment of intractable pain by morphine injections through the epidural cannula place by subcutaneous tunnelling, is very convenient for the patient's daily routine and a better alternative in such a situation. Our technique, its advantages and problems were described in this paper.


MeSH Terms

Anesthesia, Epidural
Catheterization
Catheters
Humans
Morphine
Needles
Pain, Intractable*
Punctures
Skin
Thorax
Morphine
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