J Korean Pain Soc.  1989 May;2(1):85-88.

Continuous Caudal Block for Intractable Pain

• Park WK
• Yoon DM
• Oh HK

Abstract

We experienced 3 cases of continuous caudal block. The first case had suffered from severe pain of the external genitalis after urethral injury from a car accident and this was controlled by continuous caudal block. The other 2 cases were a metastatic malignant tumor of the lumbar vertebra from cancer of the cervix and histiocytoma of the breast, and both had suffered from intractable pain of the lower extremity. But lumbar epidural block was impossible because of radiation fibrosis and previous operation scar of the spine. So a continuous caudal block was performed and the pain was controlled effectively. The longest duration was 50 days and there were no problems related catheter indwelling. Pain in the area of the lumbar and sacral nerve distribution can be controlled by continuous caudal block. Here in we reported 3 cases and reviewed the literature.

MeSH Terms

Breast
Catheters
Cicatrix
Histiocytoma
Lower Extremity
Pain, Intractable*
Radiation Pneumonitis
Spine
Uterine Cervical Neoplasms