title: [Usefulness of epidural catheter with the subcutaneous reservoir for cancer pain control in homecare service].
abstract: The epidural block therapy is offered to reduce one of the side effects of systemic administration of opioids such as drowsiness. Hence, it is necessary to set a subcutaneous reservoir to prevent a catheter-related infection for a long period of time. One hundred twenty five patients with this manipulation during the year 2004 to 2010 showed a significant improvement in their pain level calculated by Numerical Rating Scale(NRS). However only 30 cases could be proceed to the homecare. There was one case of catheter-related infection in 30 homecare cases. It is useful to establish the common strict guidelines between hospital doctors and general practitioners for the management of the epidural catheter with subcutaneous reservoir.
authors.affiliation: Dept. of Oncology and Hematology, Jikei University School of Medicine.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Inoue
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Sakuyama
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Ichiba
authors.forename: Tadashi
authors.initials: T
authors.lastname: Uwagawa
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Arakawa
authors.forename: Eijiroh
authors.initials: E
authors.lastname: Nagasaki
authors.forename: Akitaka
authors.initials: A
authors.lastname: Yoshizawa
authors.forename: Takaaki
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Keisuke
authors.initials: K
authors.lastname: Aiba
mesh_terms: D000368:Aged; D015360:Analgesia, Epidural / Q000295:instrumentation; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000150:complications; D010146:Pain / Q000188:drug therapy* / Q000209:etiology