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Anesth Analg 2002;95:1724-1725
© 2002 International Anesthesia Research Society

PAIN MEDICINE

Continuous Sacral Nerve Root Block in the Management of Neuropathic Cancer Pain

Jan H. Vranken, MD, Marinus H. van der Vegt, MD, Leon H. Ubags, PhD, Aarnout J. Pijl, PhD, and Misa Dzoljic, PhD

Department of Anesthesiology, Pain Relief Unit, Academic Medical Center, University of Amsterdam, The Netherlands

Address correspondence and reprint requests to Jan H. Vranken, MD, Department of Anesthesiology, Pain Relief Unit, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands. Address e-mail to j.h.vranken{at}amc.uva.nl

IMPLICATIONS: Neuropathic cancer pain caused by tumor infiltration in the sacral plexus is primarily treated by nonsteroidal antiinflammatory drugs, antidepressants, anticonvulsants, and opioids. In one patient with severe pain despite pharmacotherapy, a catheter for the continuous administration of local anesthetics was inserted along the first sacral root, resulting in markedly improved analgesia.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2002 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.