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KMID : 0363119920050010099
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Korean Journal of Pain
1992 Volume.5 No. 1 p.99 ~ p.102
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Intractable Pain Management of Lung Cancer Involving in Both Brachial Plexuses
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Abstract
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Severe intractable pain with paresthesia and severe dyspnea produced by lung cancer involving both brachial plexuses, refractory to ordinary pharmacologic approaches, was managel by epidural morphine and bupivacaine administration with the
continuous
Baxter infusion system. Chest pain, which is somatic pain in character, was well managed with the epidural morphine and bupivacaine administrations.
However paresthesia and tingling sensation of the hand and forearm were poorly controlled by epidural morphine, and were finally managed by bolus epidural injections of bupivacaine. Supportive therapy included epidural steroid injection and TENS,
but
the effect was not satisfactory.
Sever dyspnea seemed to aggrevate cancer related pain.
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KEYWORD
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