Continuous tunnelled femoral nerve block for palliative care of a patient with metastatic osteosarcoma.

Abstract:

:An 18-year-old man with metastatic femoral osteosarcoma had inadequate pain control with gabapentin, naproxen and intravenous fentanyl. A tunnelled femoral nerve catheter was used to administer a continuous infusion of 0.2% ropivacaine and 4 microg/ml clonidine (10 ml/hour) until his death 88 days later During discharge from hospital, catheter disconnection resulted in severe pain and readmission. Tunnelling, aseptic insertion technique, antibiotics and sterile infusate prepared by the pharmacy may have reduced the chance of infection. We propose that this is a suitable and effective technique in the long-term management of patients with terminal cancer and should be considered on a case-by-case basis.

journal_name

Anaesth Intensive Care

authors

Pacenta HL,Kaddoum RN,Pereiras LA,Chidiac EJ,Burgoyne LL

doi

10.1177/0310057X1003800324

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

563-5

issue

3

eissn

0310-057X

issn

1448-0271

pii

20090765

journal_volume

38

pub_type

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