Cervical epidural analgesia for a cancer child at home.
A cervical epidural catheter was placed in a 32-month-old girl suffering from painful bone metastases of a relapsing neuroblastoma in the left forearm. This therapeutic approach was chosen because oral morphine had failed to provide analgesia while producing intolerable side effects. The epidural injection of a mixture of morphine and bupivacaine provided complete analgesia with no side effects. This enabled the parents to take care of their child at home until the end, 35 days later.
Veyckemans
F
F
Department of Anesthesiology, Catholic University of Louvain Medical School, Cliniques Universitaires St. Luc, Brussels, Belgium.
Scholtes
J L
JL
Ninane
J
J
D015360:Analgesia, Epidural / Q000379:methods*; D001859:Bone Neoplasms / Q000150:complications* / Q000556:secondary; D002408:Catheters, Indwelling; D002675:Child, Preschool; D005260:Female; D006801:Humans; D009020:Morphine / Q000008:administration & dosage*; D009333:Neck; D009447:Neuroblastoma / Q000556:secondary; D010148:Intractable Pain / Q000188:drug therapy* / Q000209:etiology; D011884:Radius
D009020:Morphine