A New Permanent Exteriorized Epidural Catheter for Narcotic Self‐Administration to Control Cancer Pain
The lack of an available exteriorized permanent epidural catheter led to the application of the Broviac catheter technology to the development of an epidural catheter. The resulting three‐piece silicone‐rubber catheter system allows specific spinal‐level location of the catheter tip from a lumbar en...
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| Veröffentlicht in: | Cancer 1987-03, Vol.59 (5), p.986-993 |
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| container_issue | 5 |
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| container_title | Cancer |
| container_volume | 59 |
| creator | Dupen, Stuart L. Peterson, Donald G. Bogosian, Armen C. Ramsey, Donald H. Larson, Connie Omoto, Margene |
| description | The lack of an available exteriorized permanent epidural catheter led to the application of the Broviac catheter technology to the development of an epidural catheter. The resulting three‐piece silicone‐rubber catheter system allows specific spinal‐level location of the catheter tip from a lumbar entry site, and exteriorization for ease of self‐administration. Fifty‐five cancer patients with metastatic disease and intractable pain received 58 catheters. No catheter infections were found during 3891 catheter‐days of use, and only 18 minor side effects were noted, with no respiratory depression observed. Hospitalizations for pain control was decreased by 90% after catheter placement. Therefore, the authors recommend early placement of this silicone‐rubber epidural catheter to control pain unrelieved by oral analgesics. Cancer 59:986‐993, 1987. |
| doi_str_mv | 10.1002/1097-0142(19870301)59:5<986::AID-CNCR2820590523>3.0.CO;2-C |
| format | Article |
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The resulting three‐piece silicone‐rubber catheter system allows specific spinal‐level location of the catheter tip from a lumbar entry site, and exteriorization for ease of self‐administration. Fifty‐five cancer patients with metastatic disease and intractable pain received 58 catheters. No catheter infections were found during 3891 catheter‐days of use, and only 18 minor side effects were noted, with no respiratory depression observed. Hospitalizations for pain control was decreased by 90% after catheter placement. Therefore, the authors recommend early placement of this silicone‐rubber epidural catheter to control pain unrelieved by oral analgesics. Cancer 59:986‐993, 1987.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/1097-0142(19870301)59:5<986::AID-CNCR2820590523>3.0.CO;2-C</identifier><identifier>PMID: 2434205</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; Catheterization ; Hospitalization ; Humans ; Injections, Epidural ; Medical sciences ; Narcotics - administration & dosage ; Narcotics - therapeutic use ; Neoplasms - physiopathology ; Other treatments ; Pain, Intractable - drug therapy ; Palliative Care ; Self Administration ; Tomography, X-Ray Computed ; Treatment. General aspects ; Tumors</subject><ispartof>Cancer, 1987-03, Vol.59 (5), p.986-993</ispartof><rights>Copyright © 1987 American Cancer Society</rights><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4953-2347c00411169470468addba5bad612f014548dc291404a56202d81296232f703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8060776$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2434205$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dupen, Stuart L.</creatorcontrib><creatorcontrib>Peterson, Donald G.</creatorcontrib><creatorcontrib>Bogosian, Armen C.</creatorcontrib><creatorcontrib>Ramsey, Donald H.</creatorcontrib><creatorcontrib>Larson, Connie</creatorcontrib><creatorcontrib>Omoto, Margene</creatorcontrib><title>A New Permanent Exteriorized Epidural Catheter for Narcotic Self‐Administration to Control Cancer Pain</title><title>Cancer</title><addtitle>Cancer</addtitle><description>The lack of an available exteriorized permanent epidural catheter led to the application of the Broviac catheter technology to the development of an epidural catheter. The resulting three‐piece silicone‐rubber catheter system allows specific spinal‐level location of the catheter tip from a lumbar entry site, and exteriorization for ease of self‐administration. Fifty‐five cancer patients with metastatic disease and intractable pain received 58 catheters. No catheter infections were found during 3891 catheter‐days of use, and only 18 minor side effects were noted, with no respiratory depression observed. Hospitalizations for pain control was decreased by 90% after catheter placement. Therefore, the authors recommend early placement of this silicone‐rubber epidural catheter to control pain unrelieved by oral analgesics. Cancer 59:986‐993, 1987.</description><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Injections, Epidural</subject><subject>Medical sciences</subject><subject>Narcotics - administration & dosage</subject><subject>Narcotics - therapeutic use</subject><subject>Neoplasms - physiopathology</subject><subject>Other treatments</subject><subject>Pain, Intractable - drug therapy</subject><subject>Palliative Care</subject><subject>Self Administration</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment. General aspects</subject><subject>Tumors</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVUd2KEzEYDaKsdfURhFyI6MXUL38zkypCjVUXlnbxB8SbkM5k2MjMpCYp63rlI_iMPokprQW9ELwK4fxwvnMQekFgSgDoEwKyKoBw-ojIugIG5LGQM_FM1uVsNj97WailektrCkKCoOw5m8JUrZ7SQt1Ak6P4JpoAQF0Izj7eRndi_Jy_FRXsBJ1QzniWT9DlHC_tFb6wYTCjHRNefE02OB_cN9vixca122B6rEy6tBnAnQ94aULjk2vwO9t3P7__mLeDG11MwSTnR5w8Vn5Mwe9kY5NFF8aNd9GtzvTR3ju8p-jDq8V79aY4X70-U_PzouFSsIIyXjUAnBBSSl4BL2vTtmsj1qYtCe3yYYLXbUMl4cCNKCnQtiZUlpTRLnd1ih7ufTfBf9namPTgYmP7Pp_nt1FXFatFCTwTP-2JTfAxBtvpTXCDCdeagN7NoHdN6l2T-vcMWkgtdJ5B6zyD_nMGzTRotdJUq2x-_5Biux5se7Q-9J7xBwfcxMb0XchFuXik1VBCVZWZZve0K9fb6_8K-M98fyHsF4-RsN0</recordid><startdate>19870301</startdate><enddate>19870301</enddate><creator>Dupen, Stuart L.</creator><creator>Peterson, Donald G.</creator><creator>Bogosian, Armen C.</creator><creator>Ramsey, Donald H.</creator><creator>Larson, Connie</creator><creator>Omoto, Margene</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19870301</creationdate><title>A New Permanent Exteriorized Epidural Catheter for Narcotic Self‐Administration to Control Cancer Pain</title><author>Dupen, Stuart L. ; Peterson, Donald G. ; Bogosian, Armen C. ; Ramsey, Donald H. ; Larson, Connie ; Omoto, Margene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4953-2347c00411169470468addba5bad612f014548dc291404a56202d81296232f703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Biological and medical sciences</topic><topic>Catheterization</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Injections, Epidural</topic><topic>Medical sciences</topic><topic>Narcotics - administration & dosage</topic><topic>Narcotics - therapeutic use</topic><topic>Neoplasms - physiopathology</topic><topic>Other treatments</topic><topic>Pain, Intractable - drug therapy</topic><topic>Palliative Care</topic><topic>Self Administration</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment. General aspects</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dupen, Stuart L.</creatorcontrib><creatorcontrib>Peterson, Donald G.</creatorcontrib><creatorcontrib>Bogosian, Armen C.</creatorcontrib><creatorcontrib>Ramsey, Donald H.</creatorcontrib><creatorcontrib>Larson, Connie</creatorcontrib><creatorcontrib>Omoto, Margene</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dupen, Stuart L.</au><au>Peterson, Donald G.</au><au>Bogosian, Armen C.</au><au>Ramsey, Donald H.</au><au>Larson, Connie</au><au>Omoto, Margene</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A New Permanent Exteriorized Epidural Catheter for Narcotic Self‐Administration to Control Cancer Pain</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>1987-03-01</date><risdate>1987</risdate><volume>59</volume><issue>5</issue><spage>986</spage><epage>993</epage><pages>986-993</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>The lack of an available exteriorized permanent epidural catheter led to the application of the Broviac catheter technology to the development of an epidural catheter. The resulting three‐piece silicone‐rubber catheter system allows specific spinal‐level location of the catheter tip from a lumbar entry site, and exteriorization for ease of self‐administration. Fifty‐five cancer patients with metastatic disease and intractable pain received 58 catheters. No catheter infections were found during 3891 catheter‐days of use, and only 18 minor side effects were noted, with no respiratory depression observed. Hospitalizations for pain control was decreased by 90% after catheter placement. Therefore, the authors recommend early placement of this silicone‐rubber epidural catheter to control pain unrelieved by oral analgesics. Cancer 59:986‐993, 1987.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>2434205</pmid><doi>10.1002/1097-0142(19870301)59:5<986::AID-CNCR2820590523>3.0.CO;2-C</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Cancer, 1987-03, Vol.59 (5), p.986-993 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Catheterization Hospitalization Humans Injections, Epidural Medical sciences Narcotics - administration & dosage Narcotics - therapeutic use Neoplasms - physiopathology Other treatments Pain, Intractable - drug therapy Palliative Care Self Administration Tomography, X-Ray Computed Treatment. General aspects Tumors |
| title | A New Permanent Exteriorized Epidural Catheter for Narcotic Self‐Administration to Control Cancer Pain |
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