Continuous brachial plexus neural blockade in a child with intractable cancer pain

A 6-year-old boy presented with a large, rapidly growing osteosarcoma of the upper humerus and severe neuropathic arm pain. Despite large doses of morphine (100 μg/kg/hr), which resulted in intermittent somnolence and respiratory depression, his pain was poorly controlled. An interscalene brachial p...

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Veröffentlicht in:Journal of pain and symptom management 1994-05, Vol.9 (4), p.277-281
Hauptverfasser: Cooper, Michael G., Keneally, John P., Kinchington, David
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container_title Journal of pain and symptom management
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creator Cooper, Michael G.
Keneally, John P.
Kinchington, David
description A 6-year-old boy presented with a large, rapidly growing osteosarcoma of the upper humerus and severe neuropathic arm pain. Despite large doses of morphine (100 μg/kg/hr), which resulted in intermittent somnolence and respiratory depression, his pain was poorly controlled. An interscalene brachial plexus catheter was inserted, and bupivacaine was injected on ten occasions over 5 days, with markedly improved analgesia and decreased opioid requirement. Cancer pain in children can be controlled by opioids in 95 % of cases; however, circumstances such as intractable neuropathic pain may require specific regional anesthetic techniques.
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals
subjects Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bone Neoplasms - complications
brachial plexus
Brachial Plexus - drug effects
Bupivacaine - therapeutic use
cancer
Child
Drug Administration Schedule
Humans
Local anesthesia. Pain (treatment)
Male
Medical sciences
Osteosarcoma - complications
pain
Pain, Intractable - drug therapy
Pain, Intractable - etiology
Pediatric
title Continuous brachial plexus neural blockade in a child with intractable cancer pain
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