The control of severe cancer pain by continuous intrathecal infusion and patient controlled intrathecal analgesia with morphine, bupivacaine and clonidine

Pain

Volumn 78, Issue 3, 1998, Pages 217-220

  Tumber, Paul S ^a   Fitzgibbon, Dermot R ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Analgesia; Bupivacaine; Cancer pain; Chordoma; Clonidine; Intrathecal; Morphine; Patient controlled

Indexed keywords

BUPIVACAINE; CLONIDINE; MORPHINE; OPIATE;

ADULT; ARTICLE; CANCER PAIN; CASE REPORT; CHORDOMA; HUMAN; INFUSION PUMP; INTRATHECAL DRUG ADMINISTRATION; MALE; PATIENT CONTROLLED ANALGESIA; PRIORITY JOURNAL; SACRUM;

ANALGESIA, PATIENT-CONTROLLED; ANALGESICS; ANALGESICS, OPIOID; ANESTHETICS, LOCAL; BUPIVACAINE; CHORDOMA; CLONIDINE; DRUG THERAPY, COMBINATION; HUMANS; INFUSION PUMPS; INJECTIONS, SPINAL; MALE; MIDDLE AGED; MORPHINE; PALLIATIVE CARE; SACROCOCCYGEAL REGION; SPINAL NEOPLASMS;

EID: 0032407063     PISSN: 03043959     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0304-3959(98)00133-X     Document Type: Article

References (17)

1. Aguilar J.L., Espachs P., Roca G., Samper D., Cubells C., Vidal F. Difficult management of pain following sacrococoygeal chordoma: 13 months of subarachnoid infusion. Pain. 59:1994;317-320.
2. Chapman C.R. Psychological aspects of postoperative pain control. Acta Anaesthesiol. Belgica. 43:1992;41-52.
3. Cleeland C.S., Gonin R., Hatfield A.K., Edmonson J.H., Blum R.H., Stewart J.A., Pandya K.J. Pain and its treatment in outpatients with metastatic cancer. N. Engl. J. Med. 330:1994;592-596.
4. De Conno F., Caraceni A., Martini C., Spoldi E., Salvetti M., Ventafridda V. Hyperalgesia and myoclonus with intrathecal infusion of high-dose morphine. Pain. 47:1991;337-339.
5. Eisenach J.C., DuPen S., Dubois M., Miguel R., Allin D. Epidural clonidine analgesia for intractable cancer pain. The Epidural Clonidine Study Group. Pain. 61:1995;391-399.
6. Ferrante F.M., Lu L., Jamison S.B., Datta S. Patient-controlled epidural analgesia: demand dosing. Anesth. Analg. 73:1991;547-552.
7. Hardy P.A., Wells J.C. Patient-controlled intrathecal morphine for cancer pain. A method used to assess morphine requirements and bolus doses. Clin. J. Pain. 6:1990;57-59.
8. Jamison, R.N., Taft, K., J.P., O.H. and Ferrante, F.M., Psychosocial and pharmacologic predictors of satisfaction with intravenous patient-controlled analgesia, Anesth. Analg., 77 (1993) 121-125.
9. Klimscha W., Chiari A., Krafft P., Plattner O., Taslimi R., Mayer N., Weinstabl C., Schneider B., Zimpfer M. Hemodynamic and analgesic effects of clonidine added repetitively to continuous epidural and spinal blocks. Anesth. Analg. 80:1995;322-327.
10. Mercadante S. Intrathecal morphine and bupivacaine in advanced cancer pain patients implanted at home. J. Pain Symptom. Manage. 9:1994;201-207.
11. Nitescu P., Sjoberg M., Appelgren L., Curelaru I. Complications of intrathecal opioids and bupivacaine in the treatment of 'refractory' cancer pain. Clin. J. Pain. 11:1995;45-62.
12. Rundshagen I., Standl T., Kochs E., Muller M., Schulte am Esch J. Continuous spinal analgesia. Comparison between patient-controlled and bolus administration of plain bupivacaine for postoperative pain relief. Reg. Anesth. 22:1997;150-156.
13. Sjoberg M., Appelgren L., Einarsson S., Hultman E., Linder L.E., Nitescu P., Curelaru I. Long-term intrathecal morphine and bupivacaine in 'refractory' cancer pain. I. Results from the first series of 52 patients. Acta Anaesthesiol. Scand. 35:1991;30-43.
14. Sjoberg M., Nitescu P., Appelgren L., Curelaru I. Long-term intrathecal morphine and bupivacaine in patients with refractory cancer pain. Results from a morphine:bupivacaine dose regimen of 0.5:4.75 mg/ml. Anesthesiolog. 80:1994;284-297.
15. van Essen E.J., Bovill J.G., Ploeger E.J., Beerman H. Intrathecal morphine and clonidine for control of intractable cancer pain. A case report. Acta Anaesthesiologica Belgica. 39:1988;109-112.
16. World Health Organization, Cancer Pain Relief and Palliative Care. Technical Report Series, 804, Geneva, 1990.
17. Zech D.F., Grond S., Lynch J., Hertel D., Lehmann K.A. Validation of World Health Organization Guidelines for cancer pain relief: a 10-year prospective study. Pain. 63:1995;65-76.