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Anesth Analg 2003;97:187-189
© 2003 International Anesthesia Research Society

PAIN MEDICINE

Local Anesthetic Switching for Intrathecal Tachyphylaxis in Cancer Patients with Pain

S. Mercadante, MD*, P. Villari, MD*, P. Ferrera, MD*, and E. Arcuri, MD{dagger}

*Anesthesia and Intensive Care Unit and Pain Relief and Palliative Care Unit, La Maddalena Cancer Center, Palermo, Italy; and {dagger}Department of Pain Therapy and Intensive Care, National Cancer Institute "Regina Elena," Rome

Address correspondence and reprint requests to Dr. Sebastiano Mercadante, Anesthesia and Intensive Care Unit and Pain Relief and Palliative Care Unit, La Maddalena, Cancer Center, Via S. Lorenzo 312, 90146, Palermo, Italy. Address e-mail to terapiadeldolore{at}la-maddalena.it

IMPLICATIONS: Switching from bupivacaine to lidocaine may improve intrathecal morphine analgesia in advanced cancer patients, possibly because of different spinal mechanisms limiting the hyperalgesic processes.




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[Abstract] [Full Text] [PDF]

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 Anesth. Analg.Home page
C.-P. Yang, C.-C. Yeh, C.-S. Wong, C.-T. Wu, S. Mercadante, P. Villari, P. Ferrera, and E. Arcuri
Local Anesthetic Switching for Intrathecal Tachyphylaxis in Cancer Patients with Pain * Response
Anesth. Analg., February 1, 2004; 98(2): 557 - 558.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.