Spinal analgesia in terminal care: Risk versus benefit

摘要: Abstract Cancer pain treatment is well established. The World Health Organization provides clinicians an "analgesic ladder" scheme to optimize cancer treatment. At the beginning of treatment, oral analgesic administration preferred. dose must be individualized. Many published papers describe spinal opioids in combination with various other drugs such as bupivacaine selected patients pain. Although complications have been reported few, some recent reports debate this idea. We first a population 92 patients, 13 whom received intrathecal morphine. then present our experience separate group 33 who were also managed using Based on experience, generally accepted indications for technique appeared justified. Concern about infection considered, however. Three out those developed meningitis, complication rate that far too high.