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Touro College and University System
Epidural catheter; Intractable cancer pain; Retrograde catheter; Sacral pain
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Retrograde Epidural Catheter Relieves Intractable Sacral Pain, Ruchir Gupta, Shivam Shodhan, Amr Hosny
Retrograde Epidural Catheter Relieves Intractable Sacral Pain, Ruchir Gupta, Shivam Shodhan, Amr Hosny
NYMC Student Publications
Pain caused by tumor infiltration of the sacral area remains a major clinical challenge. Patients with poor pain control despite comprehensive medical management may be treated with neuraxial techniques such as continuous epidural or spinal anesthetic. We report a case in which a patient with metastatic breast cancer experienced inadequate pain relief after multiple intravenous pain management regimens as well as intrathecal (IT) drug delivery. The concentration of local anesthetics delivered via the IT catheter was limited due to the patient's baseline motor weakness which would be exacerbated with higher concentrations of local anesthetics. Thus, a decision was made to …