title: Femoral nerve blockade in the multidisciplinary management of intractable localized pain due to metastatic tumor: a case report.
abstract: This report describes the management of a 39-year-old man with intractable metastatic femoral bone pain managed by femoral nerve blockade, first via a percutaneously tunneled catheter and later via an implanted Port-A-Cath system. Analgesia was maintained by repeated injections of bupivacaine. The multitherapeutic approach utilizing surgical fixation, radiotherapy, opioid analgesics and adjuvants, transcutaneous electrical nerve stimulation, physiotherapy, and neural blockade to the management is emphasized.
authors.affiliation: Department of Anaesthetics, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
authors.forename: K E
authors.initials: KE
authors.lastname: Khor
authors.forename: J N
authors.initials: JN
authors.lastname: Ditton
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000150:complications* / Q000556:secondary; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000556:secondary; D005267:Femoral Nerve; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology; D008297:Male; D009407:Nerve Block; D010146:Pain / Q000209:etiology; D059408:Pain Management