The Korean Journal of Pain

  • 제20권2호
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  • Pages.240-245
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  • 2007
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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말기암 환자의 통증치료를 위한 지주막하강내 카테터 거치와 피하 이식형 약제 주입기 삽입 - 증례보고 -

Intrathecal Catheter and Subcutaneous Access Port Implantation in Pain Management for Terminal Cancer Patient - A case report -

  • 서귀주 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 정진용 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김호영 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 노운석 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김봉일 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 송석영 (대구가톨릭대학교 의과대학 마취통증의학교실)
  • Seo, Kwi Chu (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Chung, Jin Yong (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Kim, Ho Young (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Rho, Woon Seok (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Kim, Bong Il (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Song, Seok Young (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu)
  • 투고 : 2007.09.20
  • 심사 : 2007.11.19
  • 발행 : 2007.12.10
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초록

It is important to treat cancer-related pain in cancer patients to ensure the life quality of the patient, as well as to improve their life span. It has been estimated that at least 5% of cancer patients have pain refractory to medical treatment. Therefore, the need for epidural or intrathecal analgesia with opioids and local anesthetics is indicated if systemic treatment has failed. Intrathecal catheter placement and implantation of the injection port for administration of opioids and local anesthetics may improve pain relief in patients who are unresponsive to epidural routes. Although intrathecal implantation has several complications, similar infection rates have been reported between intrathecal and epidural administration. In addition, intrathecal administration showed better outcomes, including improved pain control, lowered daily doses, and an improvement in the level of drowsiness experienced when compared to epidural administration. We report here a case in which a terminal cancer patient was treated using an intrathecal catheter and subcutaneous port. The patient had cancer-related pain that could not be controlled by epidural opioid administration. Based on the results presented here, we suggest that intrathecal implantation is a feasible long term pain management method for intractable cancer pain patients.

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참고문헌

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피인용 문헌

  1. Upper body cancer pain management by cervical intrathecal catheterization - A case report - vol.55, pp.1, 2008, https://doi.org/10.4097/kjae.2008.55.1.135
  2. Continuous Intrathecal Morphine Administration for Cancer Pain Management Using an Intrathecal Catheter Connected to a Subcutaneous Injection Port: A Retrospective Analysis of 22 Terminal Cancer Patients in Korean Population vol.26, pp.1, 2013, https://doi.org/10.3344/kjp.2013.26.1.32
  3. 척수강 내 약물 주입기의 이식 -증례보고- vol.22, pp.1, 2009, https://doi.org/10.3344/kjp.2009.22.1.68