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Anesth Analg 1988; 67:1159-1161
© 1988 International Anesthesia Research Society
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Epidural Morphine Delivered by a Percutaneous Epidural Catheter for Outpatient Treatment of Cancer Pain

James E. Downing, MD, Eric H. Busch, MD, and Peter M. Stedman, MD

The Department of Anesthesiology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, Louisiana.

Abstract

Twenty-three outpatients with cancer pain refractory to other methods of pain control were treated with epidural morphine (EM) delivered through a chronically placed percutaneous lumbar epidural catheter. Patients and their families were taught to administer EM at home. Mean EM doses ranged from 18 to 31 mg/day. Mean catheter lifespan urns 6.3 weeks. There were no catheter-related infections or cases of respiratory depression. After 2500 patient treatment days, we have found this method to be a safe and effective method of cancer pain management in outpatients.

Key Words: ANALGESICS—morphine. • ANESTHETIC TECHNIQUES, EPIDURAL—morphine. • PAIN, CHRONIC.




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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 © 1988 by the International Anesthesia Research Society.