Metastatic pain in the parturient: treatment with patient-controlled epidural sufentanil.
A 30-year-old primigravid woman presented at 28 weeks gestation with severe pain related to metastatic gastric carcinoma. Pain control was achieved with epidural sufentanil, administered via a patient-controlled analgesia pump, for 5 days, prior to caesarean delivery. Considerations in deciding the optimal therapeutic regime are discussed.
McGrady
E M
EM
Department of Anesthesiology, University of Maryland Medical System, Baltimore.
Malinow
A M
AM
Paly
D A
DA
Mokriski
B K
BK
D000328:Adult; D015360:Analgesia, Epidural; D016058:Analgesia, Patient-Controlled; D001202:Ascitic Fluid / Q000473:pathology; D002277:Carcinoma / Q000556:secondary*; D005260:Female; D005865:Gestational Age; D006801:Humans; D009020:Morphine / Q000008:administration & dosage; D009367:Neoplasm Staging; D010148:Intractable Pain / Q000188:drug therapy*; D010386:Pelvic Neoplasms / Q000556:secondary*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D013274:Stomach Neoplasms / Q000473:pathology; D017409:Sufentanil / Q000008:administration & dosage*
D009020:Morphine; D017409:Sufentanil