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Vol.57 (2011) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/303

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Title: Two cases of thoracic epidural neurolysis after local anesthetic titration in cancer patients
Other Titles: Thoracic epidural neurolysis
Authors: Takahashi-Sato, Kaoru
Hashimoto, Kotaro
Nakano, Yuko
Mogami, Midori
Muto, Mariko
Nakagawa, Masayuki
Murakawa, Masahiro
Affiliation: 麻酔科学講座
Source title: Fukushima Journal of Medical Science
Volume: 57
Issue: 2
Start page: 66
End page: 68
Issue Date: 2011
Abstract: Two patients who underwent thoracic epidural neurolysis after titration using local anesthetic are reported. Case 1 suffered serious back and epigastric pain arising from metastasis of lung cancer and Case 2 was not relieved right chest pain by costal metastasis from urethral cancer only by morphine. Block therapies improve the patients' quality of life if these underwent in opioid resistant pain or moving pain. Among them subarachnoid neurolytic blockage or epidural continuous blockage are usually selected in terminal stage. Subarachnoid blockage is potent but usually induces paresthesia and hypesthesia and patient has to keep lateral position under affected site intraoperatively. Epidural block is easy to treat but is difficult to continue because of infection and decrement of efficacy attributed adhesion of epidural space, stress arose from immobilization. We operate epidural neurolytic blockage for these patients and they were relieves from pain without suffer from the side effect.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/303
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/303/1/FksmJMedSci_57_p66.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.57.66
PubMed ID: 22353653
Other version: http://dx.doi.org/10.5387/fms.57.66
Rights: © 2011 The Fukushima Society of Medical Science
Appears in Collections:Vol.57 (2011)

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FksmJMedSci_57_p66.pdf327.13 kBAdobe PDFDownload

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