title: [Pain control by continuous infusion of morphine using subarachnoid catheter access to the port--a report of a home death case].
abstract: This is a case of a 50s male with cecal cancer suffering from severe pain caused by osteolytic metastasis to the lumbar vertebra, right iliac bone, and the head of the right femur. The pain was palliated by continuous infusion of morphine using a subarachnoid catheter that had access to the subcutaneous "Port". The maximum dose of morphine used a day was 384 mg, which corresponded to 57,600 mg/day of oral morphine. Sixty eight days after the start of home hospice care, the patient died at home because of diffuse peritonitis caused by intestinal rupture.
authors.affiliation: Home Care Clinic Kawagoe.
authors.forename: Koh
authors.initials: K
authors.lastname: Kawagoe
authors.forename: Shinobu
authors.initials: S
authors.lastname: Matsuura
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use*; D001063:Appendiceal Neoplasms / Q000150:complications; D001859:Bone Neoplasms / Q000473:pathology / Q000556:secondary; D002404:Catheterization / Q000379:methods*; D017809:Fatal Outcome; D018718:Home Infusion Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000627:therapeutic use*; D010146:Pain / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D010166:Palliative Care; D013346:Subarachnoid Space / Q000601:surgery; D013727:Terminal Care; D014057:Tomography, X-Ray Computed
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine