Femoral nerve blockade in the multidisciplinary management of intractable localized pain due to metastatic tumor: A case report

This report describes the management of a 39-year-old man with intractable metastatic femoral bone pain managed by femoral nerve blockade, first via a percutaneously tunneled catheter and later via an implanted Port-A-Cath® system. Analgesia was maintaned by repeated injections of bupivacaine. The m...

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Bibliographic Details
Published in:Journal of pain and symptom management 1996, Vol.11 (1), p.57-60
Main Authors: Eng Khor, Kok, Ditton, John N.
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bone Neoplasms - complications
Bone Neoplasms - secondary
Carcinoma, Renal Cell - complications
Carcinoma, Renal Cell - secondary
catheter technique
Femoral Nerve
femoral nerve blockade
Humans
implanted system
Kidney Neoplasms - pathology
Local anesthesia. Pain (treatment)
Male
Medical sciences
Metastatic bone pain
multitherapeutic approach
Nerve Block
Pain - etiology
Pain Management
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Summary:This report describes the management of a 39-year-old man with intractable metastatic femoral bone pain managed by femoral nerve blockade, first via a percutaneously tunneled catheter and later via an implanted Port-A-Cath® system. Analgesia was maintaned by repeated injections of bupivacaine. The multitherapeutic approach utilizing surgical fixation, radiotherapy, opioid analgesics and adjuvants, transcutaneous eletrical nerve stimulation, physiotherapy, and neural blockade to the management is emphasized.
ISSN:0885-3924
1873-6513
DOI:10.1016/0885-3924(95)00138-7