Epidural catheterization with a subcutaneous injection port for the long-term administration of opioids and local anesthetics to treat zoster-associated pain: a report of two cases / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 462-467, 2013.
Article
in English
| WPRIM
| ID: wpr-74415
ABSTRACT
Continuous epidural analgesia has been used for decades to treat acute herpes zoster pain and to prevent postherpetic neuralgia. However, many technical problems can arise during chronic treatment with epidural medications. These complications include catheter dislodgement, infection, injection pain, leakage, and occlusion. Epidural catheter placement utilizing subcutaneous injection port implantation has gained widespread acceptance as a method to overcome such complications. The technique reduces the risk of infection, the most feared complication, compared to the use of a percutaneous epidural catheter. Herein, we present 2 cases in which the continuous thoracic epidural administration of opioids and local anesthetics through an implantable subcutaneous injection port for over 2 months successfully treated zoster-associated pain without any technique- or medication-related complications in patients with risk factors for epidural abscess.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Injections, Epidural
/
Catheterization
/
Analgesia, Epidural
/
Risk Factors
/
Epidural Abscess
/
Neuralgia, Postherpetic
/
Catheters
/
Herpes Zoster
/
Analgesics, Opioid
/
Injections, Subcutaneous
Type of study:
Etiology study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2013
Type:
Article
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