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All Journal Jurnal Komplikasi Anestesi
Kumala , Ratih
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Medicine & Pharmacology

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Pemberian Analgetik Epidural Lumbal Kontinu sebagai Tatalaksana Nyeri Kanker dengan Metastasis Mahmud; Kumala , Ratih; Alamsyah, Erry
Jurnal Komplikasi Anestesi Vol 10 No 3 (2022)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v10i3.7353

Abstract

Pain is the most common symptom of cancer patients. Pain in cancer patients is mainly caused by cancerprogressivity and tissue necrosis. Management of chronic pain needs considerable high socioeconomic costs. As an alternative for chronic pain management, a continuous infusion of local anesthetics via epidural catheter is recommended to alleviate chronic pain which caused by cancer pain in certain concentration that can relieve pain. We report 3 cases of patients with cancer pain related to metastatic process. All three patients had previously prescribed with oral opioids and fentanyl patches, which were inadequate in eliminating pain. In all these three patients, lumbal epidural catheter was placed and continuous local anesthetic drugs were administered in 1-2 ml/hour rate. The local anesthetics solution contains levobupivacaine 0.1%, morphine 0.08 mg/ml and klonidin 1.2 mg/ml.
Co-Authors Alamsyah, Erry Siti Helmyati