Intraventricular or epidural injection of morphine for severe pain.
Intraventricular or epidural injection of morphine through implantable infusion devices was used for severe pain in 50 patients with advanced cancer, arachnoiditis, or spinal injury. Intraventricular catheter was inserted for injection of morphine in 21 patients, 29 were treated through epidural infusion. For the evaluation of results the multimodal evoked potential (MEP) has been obtained before and after each treatment. 80% of the patients experienced good results. No significant side effects have been noted in patients with either epidural or intraventricular injection of morphine. These may be excellent methods for pain control in well selected patients.
Choi
C R
CR
Department of Neurosurgery, St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.
Ha
Y S
YS
Ahn
M S
MS
Lee
J S
JS
Song
J U
JU
D000328:Adult; D000368:Aged; D015360:Analgesia, Epidural / Q000295:instrumentation*; D002408:Catheters, Indwelling; D004305:Dose-Response Relationship, Drug; D004569:Electroencephalography / Q000187:drug effects; D005071:Evoked Potentials / Q000187:drug effects; D005260:Female; D006801:Humans; D007276:Injections, Intraventricular / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage*; D009369:Neoplasms / Q000503:physiopathology*; D010147:Pain Measurement; D010148:Intractable Pain / Q000188:drug therapy*
D009020:Morphine