Department of Anaesthesia & Pain, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail:
Neurosciences (Riyadh). 2020 Oct;25(5):399-402. doi: 10.17712/nsj.2020.5.20200009.
We present a case of a terminally ill cancer patient with metastasis who was suffering from inadequate pain control despite high doses of systemic opioid administration. In addition, her quality of life was significantly impaired due to opioid-induced troublesome side effects. In the situation as above, intrathecal opioid administration has established as a safe and effective therapeutic option with a positive benefit-risk ratio. This case reports a novel technique, where an intravenous port catheter was used to administer intrathecal opioid.
我们报告了一例癌症终末期转移患者的病例,尽管给予了高剂量的全身性阿片类药物治疗,但仍存在疼痛控制不足的情况。此外,由于阿片类药物引起的麻烦副作用,她的生活质量受到了严重影响。在上述情况下,鞘内阿片类药物给药已被确立为一种安全有效的治疗选择,具有积极的获益风险比。本病例报告了一种新的技术,即使用静脉端口导管给予鞘内阿片类药物。