The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Continuous Caudal Block for Intractable Pain

지속적(持續的) 미추차단(尾椎遮斷)에 의한 동통관리(疼痛管理) 3예(三例)

  • Park, Wyun-Kon (Department of Anesthesiology Yonsei University College of Medicine) ;
  • Yoon, Duck-Mi (Department of Anesthesiology Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology Yonsei University College of Medicine)
  • 박윤곤 (연세대학교 마취과학교실) ;
  • 윤덕미 (연세대학교 마취과학교실) ;
  • 오흥근 (연세대학교 마취과학교실)
  • Published : 1998.05.30
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Abstract

We experienced 3 cases of continuous caudal block. The first case had suffered from severe pain of the external genitalis after urethral injury from a car accident and this was controlled by continuous caudal block. The other 2 cases were a metastaric malignant tumor of the lumbar vertebra from cancer of the cervix and histiocytoma of the breast, and both had suffered from intractable pain of the lower extremity. But lumbar epidural block was impossible because of radiation fibrosis and previous operation scar of the spine. So a continuous caudal block was performed and the pain was controlled effectively. The longest duration was 50 days and there were no problems related catheter indwelling. Pain in the area of the lumbar and sacral nerve distribution can be controlled by continuous caudal block. Here in we reported 3 cases and reviewed the literature.

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