TWO CASES OF THORACIC EPIDURAL NEUROLYSIS AFTER LOCAL ANESTHETIC TITRATION IN CANCER PATIENTS
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- TAKAHASHI-SATO KAORU
- Department of Anesthesiology, Fukushima Medical University School of Medicine
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- HASHIMOTO KOTARO
- Department of Anesthesiology, Fukushima Medical University School of Medicine
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- NAKANO YUKO
- Department of Anesthesiology, Fukushima Medical University School of Medicine
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- MOGAMI MIDORI
- Department of Anesthesiology, Fukushima Medical University School of Medicine
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- MUTO MARIKO
- Department of Anesthesiology, Fukushima Medical University School of Medicine
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- NAKAGAWA MASAYUKI
- Department of Anesthesiology, Fukushima Medical University School of Medicine
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- MURAKAWA MASAHIRO
- Department of Anesthesiology, Fukushima Medical University School of Medicine
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抄録
Two patients who underwent thoracic epidural neurolysis after titration using local anesthetic are reported. Case 1 suffered serious back and epigastric pain arising from metastasis of lung cancer and Case 2 was not relieved right chest pain by costal metastasis from urethral cancer only by morphine. Block therapies improve the patients' quality of life if these underwent in opioid resistant pain or moving pain. Among them subarachnoid neurolytic blockage or epidural continuous blockage are usually selected in terminal stage. Subarachnoid blockage is potent but usually induces paresthesia and hypesthesia and patient has to keep lateral position under affected site intraoperatively. Epidural block is easy to treat but is difficult to continue because of infection and decrement of efficacy attributed adhesion of epidural space, stress arose from immobilization. We operate epidural neurolytic blockage for these patients and they were relieves from pain without suffer from the side effect.
収録刊行物
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- 福島医学会
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福島医学会 57 (2), 66-68, 2011
福島医学会
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詳細情報 詳細情報について
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- CRID
- 1390282681282852736
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- NII論文ID
- 130002153584
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- NII書誌ID
- AA0065246X
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- COI
- 1:STN:280:DC%2BC383lt1yquw%3D%3D
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- ISSN
- 21854610
- 00162590
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- IRDB
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可