J Korean Pain Soc.  2003 Dec;16(2):253-257.

Continuous Brachial Plexus Block as a Treatment for Intractable Pain Management of Malignancy Involving in Brachial Plexus: A report of 3 cases

• Ahn YJ
• Bae JI
• Kim JM
• Kim AR
• Jang YH
• Lee JH

Abstract

Three patients had severe neuropathic pain, caused by a pancoast tumor, and brachial plexopathy, caused by primary or metastatic lesions, of the esophagus. These patients did not respond to any medication. Therefore, attempts were made to control the pain with brachial plexus block. An indwelling catheter was inserted in the brachial plexus, using a infraclavicular approach, with a modified Raj technique. The visual analogue scale scores of all the patients were evaluated. There was a significant reduction in the visual analog scale scores, with no side effects from the technique, the continuous administration of local anesthetics, morphine or ketamine.

Keyword

Brachial plexus block; Cancer pain

MeSH Terms

Anesthetics, Local
Brachial Plexus Neuropathies
Brachial Plexus*
Catheters, Indwelling
Esophagus
Humans
Ketamine
Morphine
Neuralgia
Pain, Intractable*
Pancoast Syndrome
Visual Analog Scale
Anesthetics, Local
Ketamine
Morphine